National Provider Identifier
Gerrit Van Loon III, DC
Gerrit Van Loon III, DC is listed in the NPPES registry with a primary specialty of Chiropractor in Ithaca, NY and a listed phone number of (607) 277-1468.
Profile Overview
- NPI
- 1053431965
- Provider Type
- Individual
- Primary Specialty
- Chiropractor
- Enumeration Date
- April 02, 2007
- Last Updated
- July 18, 2024
Practice Location
- 103 Sharlene RD
- Ithaca, NY 14850-6315
Phone: (607) 277-1468
Specialties
- Chiropractor (111N00000X)
- Physical Therapist (225100000X)
Full Record
- NPI
- 1053431965
- Entity Type
- Individual
- Last Name
- Van Loon
- First Name
- Gerrit
- Name Suffix
- III
- Credential
- DC
- Mailing Street Address
- 103 Sharlene RD
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-6315
- Mailing Country
- US
- Mailing Phone
- (607) 277-1468
- Mailing Fax
- (607) 277-1468
- Practice Street Address
- 103 Sharlene RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-6315
- Practice Country
- US
- Practice Phone
- (607) 277-1468
- Practice Fax
- (607) 277-1468
- Enumeration Date
- April 02, 2007
- Last Updated
- July 18, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- July 18, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Chiropractor (111N00000X), Physical Therapist (225100000X)
- Other Identifiers
- 000916364001 (NY, Health New - Chiro)