Jesse Gillham, DC Valid NPI
Individual provider · Chiropractor · Evansville, IN
- NPI
- 1780132977
- Type
- Individual (Type 1)
- Primary specialty
- Chiropractor
- Specialty group
- Chiropractic Providers
- Taxonomy code
- 111N00000X
- License number
- 08003130A (IN)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2016-09-15
- Last updated
- 2020-03-31
Practice location
6225 E Virginia St Ste A
Evansville, IN 47715-9170
(812) 777-4004