Provider Demographics
NPI:1316055114
Name:REMY, GERARDO E (DC)
Entity type:Individual
Prefix:DR
First Name:GERARDO
Middle Name:E
Last Name:REMY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3216 CHRISTY WAY S STE 4
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-2214
Mailing Address - Country:US
Mailing Address - Phone:989-355-1118
Mailing Address - Fax:989-355-1082
Practice Address - Street 1:3216 CHRISTY WAY S STE 4
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48603-2214
Practice Address - Country:US
Practice Address - Phone:989-355-1118
Practice Address - Fax:989-355-1082
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8460111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU93082Medicare UPIN
FLE8770Medicare ID - Type Unspecified