MEDICARE: GIBSON CHIROPRACTIC INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC023817	CA

General Provider Information

NPI Number	:	1811032634
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GIBSON CHIROPRACTIC INC

Provider Business Mailing Address
First Line	:	2906 DARWIN ST
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95821-4510
Country	:	US
Telephone Number	:	916-925-2225
Fax Number	:	916-925-2220

Provider Business Practice Location Address
First Line	:	2906 DARWIN ST
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95821-4510
Country	:	US
Telephone Number	:	916-925-2225
Fax Number	:	916-925-2220

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DR. CHRIS S GIBSON
Credential	:	DC
Telephone Number	:	916-925-2225

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	11/03/2014

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Directions to “GIBSON CHIROPRACTIC INC ” Practice Location

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