Gilles Xavier Beaumont, DC

Individual provider Active NPI Orthopedic Chiropractor · Mobile, AL

NPI 1619957552 · NPPES record last updated Dec 11, 2009

Key facts

NPI
1619957552
Entity type
Individual (NPI type 1)
Primary specialty
Orthopedic Chiropractor 111NX0800X
License
1080 (AL)
Practice address
801 Downtowner Blvd
Mobile, AL 36609-5403
Phone
(251) 341-1211
Fax
(251) 414-5104
NPI assigned
Jan 18, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
1080ALMDOrthopedic Chiropractor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X 1080 AL Yes

Addresses

Primary practice location

801 Downtowner Blvd
Mobile, AL 36609-5403

Mailing address

801 Downtowner Blvd
Mobile, AL 36609-5403
Phone (251) 341-1211

Other identifiers

IdentifierTypeStateIssuer
51025978OtherALBCBS OF AALABAMA
44-10081OtherALUNITED HEALTH CARE

Other providers in Mobile, AL

All providers in Mobile, AL · Orthopedic Chiropractor in Alabama

Sources for this page

Verify at the official NPI Registry.