Provider Demographics
NPI:1649358011
Name:VALINSKI, GARY (DC)
Entity type:Individual
Prefix:DR
First Name:GARY
Middle Name:
Last Name:VALINSKI
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 1:11 HOLLY DR
Mailing Address - Street 2:LEOLA CHIROPRACTIC
Mailing Address - City:LEOLA
Mailing Address - State:PA
Mailing Address - Zip Code:17540-1211
Mailing Address - Country:US
Mailing Address - Phone:717-656-0032
Mailing Address - Fax:717-656-3019
Practice Address - Street 1:11 HOLLY DR
Practice Address - Street 2:LEOLA CHIROPRACTIC
Practice Address - City:LEOLA
Practice Address - State:PA
Practice Address - Zip Code:17540-1211
Practice Address - Country:US
Practice Address - Phone:717-656-0032
Practice Address - Fax:717-656-3019
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC004017L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA595250JU1Medicare PIN