Mejia, Gustavo

Mejia, Gustavo is an individual health care provider with primary practice located at 8 Maple Ave , Bay Shore NY 11706-8722. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Mejia, Gustavo can be contacted via phone (631) 968-0586.

Contact Information

Primary practice address
8 Maple Ave Bay Shore NY 11706-8722
Phone: (631) 968-0586
Fax: (631) 968-6720
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X X003936 New York

Profile Details

NPI number 1821289927
LBN Legal business name Mejia, Gustavo
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2007
Last updated Aug 5th, 2007 - about 19 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 1821289927 NPPES
New York Other X003936 LICENSE

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