Provider Demographics
NPI:1902163983
Name:GEHRKIN, TERRENCE JUDE (DC)
Entity Type:Individual
Prefix:
First Name:TERRENCE
Middle Name:JUDE
Last Name:GEHRKIN
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 1:1801 S ALVERNON WAY
Mailing Address - Street 2:SUITE 107
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-6219
Mailing Address - Country:US
Mailing Address - Phone:520-790-1250
Mailing Address - Fax:520-790-3477
Practice Address - Street 1:1801 S ALVERNON WAY
Practice Address - Street 2:SUITE 107
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-6219
Practice Address - Country:US
Practice Address - Phone:520-790-1250
Practice Address - Fax:520-790-3477
Is Sole Proprietor?:No
Enumeration Date:2012-04-16
Last Update Date:2012-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4683111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor