Healthcare Provider Details
I. General information
NPI: 1063458453
Provider Name (Legal Business Name): GARY J. ALVES DC, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/22/2006
Last Update Date: 04/26/2024
Certification Date: 04/26/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1 WELBY RD STE 1E
NEW BEDFORD MA
02745-1137
US
IV. Provider business mailing address
1 WELBY RD STE 1E
NEW BEDFORD MA
02745-1137
US
V. Phone/Fax
- Phone: 508-998-3001
- Fax:
- Phone: 508-998-3001
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
GARY
J
ALVES
Title or Position: OFFICER
Credential: DC
Phone: 508-998-3001