Healthcare Provider Details
I. General information
NPI: 1093980443
Provider Name (Legal Business Name): G &S HEALTH SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/28/2008
Last Update Date: 01/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
221 W COURT AVE
JEFFERSONVILLE IN
47130-3529
US
IV. Provider business mailing address
221 W COURT AVE
JEFFERSONVILLE IN
47130-3529
US
V. Phone/Fax
- Phone: 812-288-7000
- Fax: 812-288-7311
- Phone: 812-288-7000
- Fax: 812-288-7311
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | 08001220 |
| License Number State | IN |
VIII. Authorized Official
Name:
GABOR
SPRUCH
Title or Position: PRESIDENT
Credential: D.C
Phone: 812-288-7000