Individual
GERALD HENRY BEMIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
240 W ELM ST, ALTON, IL 62002-5126
(618) 466-5322
Mailing address
240 W ELM ST, ALTON, IL 62002-5126
(618) 466-5322
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038003469
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4400105
UNITED HEALTHCARE
IL
01
—
5509595
AETNA
IL
01
—
6082013
BLUE CROSS BLUE SHEILD IL
IL
Enumeration date
12/29/2006
Last updated
09/10/2024
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