Gailes, Diana B

Gailes, Diana B is an individual health care provider with primary practice located at 49 Lake Ave Ste 1E , Greenwich CT 06830-4519. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Gailes, Diana B can be contacted via phone (203) 983-5426.

Contact Information

Primary practice address
49 Lake Ave Ste 1E Greenwich CT 06830-4519
Fax: (203) 622-8228
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 001928 Connecticut

Profile Details

NPI number 1750406559
LBN Legal business name Gailes, Diana B
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
Last updated Jul 10th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750406559 NPPES
Connecticut Other 001928 CT LICENSE
Connecticut Other DCP00461 CT LICENSE

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