Provider Demographics
NPI:1831143577
Name:GUALANO, DAVID BRIAN (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:BRIAN
Last Name:GUALANO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:553 HAYWOOD RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-3559
Mailing Address - Country:US
Mailing Address - Phone:828-253-7378
Mailing Address - Fax:828-253-7379
Practice Address - Street 1:553 HAYWOOD RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-3559
Practice Address - Country:US
Practice Address - Phone:828-253-7378
Practice Address - Fax:828-253-7379
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-19
Last Update Date:2012-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1952111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0846NOtherBCBS
NCU40403Medicare UPIN
NC0846NOtherBCBS