Healthcare Provider Details

I. General information

NPI: 1699885608
Provider Name (Legal Business Name): GREGORY RAY HEYART D.C..
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 03/31/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 TOWER WAY SUITE 130
BAKERSFIELD CA
93309
US

IV. Provider business mailing address

1001 TOWER WAY SUITE 130
BAKERSFIELD CA
93309
US

V. Phone/Fax

Practice location:
  • Phone: 661-327-2622
  • Fax: 661-327-2622
Mailing address:
  • Phone: 661-327-2622
  • Fax: 661-327-0614

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License NumberDC16121
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License NumberDC16121
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code111NR0200X
TaxonomyRadiology Chiropractor
License NumberDC16121
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC161210
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: