Provider Demographics
NPI:1174886519
Name:SCHIFF-VERRE, GABRIEL (MS TCM, DIP OM, LAC)
Entity type:Individual
Prefix:
First Name:GABRIEL
Middle Name:
Last Name:SCHIFF-VERRE
Suffix:
Gender:M
Credentials:MS TCM, DIP OM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 ELSMERE AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04106-4934
Mailing Address - Country:US
Mailing Address - Phone:207-200-5751
Mailing Address - Fax:
Practice Address - Street 1:222 SAINT JOHN ST STE 137
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04102-3024
Practice Address - Country:US
Practice Address - Phone:207-200-5751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-20
Last Update Date:2012-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEAC389171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist