Provider Demographics
NPI:1124050729
Name:POOLE, EUGENE D II (DC)
Entity type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:D
Last Name:POOLE
Suffix:II
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:GENE
Other - Middle Name:
Other - Last Name:POOLE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:4747 N 1ST ST
Mailing Address - Street 2:SUITE 132
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93726-0563
Mailing Address - Country:US
Mailing Address - Phone:559-226-9036
Mailing Address - Fax:559-226-9054
Practice Address - Street 1:4747 N 1ST ST
Practice Address - Street 2:SUITE 132
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93726-0563
Practice Address - Country:US
Practice Address - Phone:559-226-9036
Practice Address - Fax:559-226-9054
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18000111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor