Individual provider · Type 1 NPI
Gary Eugene Bolen, DC
Chiropractor · Venice, FL
NPI number
1467568816
Active
Practice location
4107 South Tamiami Trail
Venice, FL 34293
Fax (941) 493-8413
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CH7387 (FL) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1467568816
Gary Eugene Bolen, DC's National Provider Identifier is 1467568816, issued on Aug 21, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Venice, FL. The record was last updated on Jul 8, 2007.