Healthcare Provider Details

I. General information

NPI: 1720185739
Provider Name (Legal Business Name): GAMET CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 11/13/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6022 HARVEY ST SUITE G
MUSKEGON MI
49444-8802
US

IV. Provider business mailing address

6022 HARVEY ST SUITE G
MUSKEGON MI
49444-8802
US

V. Phone/Fax

Practice location:
  • Phone: 231-799-2020
  • Fax: 231-799-9666
Mailing address:
  • Phone: 231-799-2020
  • Fax: 231-799-9666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number008467
License Number StateMI

VIII. Authorized Official

Name: DR. GENE W GAMET
Title or Position: OWNER
Credential: D.C.
Phone: 231-799-2020