Provider Demographics
NPI:1962401158
Name:GALE, JAMES S (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:S
Last Name:GALE
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 1:409 N JEFFERS ST
Mailing Address - Street 2:
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69101-3939
Mailing Address - Country:US
Mailing Address - Phone:308-534-7191
Mailing Address - Fax:308-534-7192
Practice Address - Street 1:409 N JEFFERS ST
Practice Address - Street 2:
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-3939
Practice Address - Country:US
Practice Address - Phone:308-534-7191
Practice Address - Fax:308-534-7192
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE593111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47611072100Medicaid
NE47611072100Medicaid
NET40148Medicare UPIN