Provider Demographics
NPI:1851550271
Name:HUME, GAIL ANNE (DC)
Entity Type:Individual
Prefix:DR
First Name:GAIL
Middle Name:ANNE
Last Name:HUME
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 OCONNOR DR STE 1
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-1656
Mailing Address - Country:US
Mailing Address - Phone:408-279-3383
Mailing Address - Fax:408-975-9618
Practice Address - Street 1:251 OCONNOR DR STE 1
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-1656
Practice Address - Country:US
Practice Address - Phone:408-279-3383
Practice Address - Fax:408-975-9618
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-02
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17296111N00000X, 111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC0172960Medicare PIN