Gary Wade Nolan, DC | |
3315 Almaden Expy, Ste 29, San Jose, CA 95118-1557 | |
(408) 384-1519 | |
(408) 604-0166 |
Full Name | Gary Wade Nolan |
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Gender | Male |
Speciality | Chiropractor |
Location | 3315 Almaden Expy, San Jose, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902934193 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | DC 30783 (California) | Primary |
Provider Name | Cares Community Health |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1447297379 PECOS PAC ID: 2769418151 Enrollment ID: O20050718000377 |
Mailing Address | Practice Location Address |
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Gary Wade Nolan, DC 3315 Almaden Expy, Ste 29, San Jose, CA 95118 Ph: (408) 384-1519 | Gary Wade Nolan, DC 3315 Almaden Expy, Ste 29, San Jose, CA 95118-1557 Ph: (408) 384-1519 |
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