Provider Demographics
NPI:1306948203
Name:GELLES, JOYCE (DC)
Entity type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:
Last Name:GELLES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5290 LOGAN FERRY ROAD
Mailing Address - Street 2:SUITE B
Mailing Address - City:MURRYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15668-8523
Mailing Address - Country:US
Mailing Address - Phone:724-325-4554
Mailing Address - Fax:724-325-4880
Practice Address - Street 1:5290 LOGAN FERRY ROAD
Practice Address - Street 2:SUITE B
Practice Address - City:MURRYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15668-8523
Practice Address - Country:US
Practice Address - Phone:724-325-4554
Practice Address - Fax:724-325-4880
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC002171L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAGE404701Medicare ID - Type Unspecified