Provider Demographics
NPI:1679116990
Name:GADE CHIROPRACTIC INC
Entity type:Organization
Organization Name:GADE CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:GARRETT
Authorized Official - Last Name:GADE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:916-632-2225
Mailing Address - Street 1:4035 ROCKLIN RD
Mailing Address - Street 2:
Mailing Address - City:ROCKLIN
Mailing Address - State:CA
Mailing Address - Zip Code:95677
Mailing Address - Country:US
Mailing Address - Phone:916-632-2225
Mailing Address - Fax:916-632-0244
Practice Address - Street 1:4035 ROCKLIN RD
Practice Address - Street 2:
Practice Address - City:ROCKLIN
Practice Address - State:CA
Practice Address - Zip Code:95677
Practice Address - Country:US
Practice Address - Phone:916-632-2225
Practice Address - Fax:916-632-0244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-18
Last Update Date:2019-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty