Provider Demographics
NPI:1003491218
Name:GISSY FAMILY CHIROPRACTIC PLLC
Entity type:Organization
Organization Name:GISSY FAMILY CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:A
Authorized Official - Last Name:GISSY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:561-309-9922
Mailing Address - Street 1:1408 GREENMONT HILLS DR
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:WV
Mailing Address - Zip Code:26105-3280
Mailing Address - Country:US
Mailing Address - Phone:561-309-9922
Mailing Address - Fax:
Practice Address - Street 1:5026 SEMINOLE PRATT WHITNEY RD
Practice Address - Street 2:
Practice Address - City:LOXAHATCHEE
Practice Address - State:FL
Practice Address - Zip Code:33470-6301
Practice Address - Country:US
Practice Address - Phone:561-309-9922
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-10
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty