Provider Demographics
NPI:1629130711
Name:MCNABB, GREG NOLAN (DC)
Entity Type:Individual
Prefix:DR
First Name:GREG
Middle Name:NOLAN
Last Name:MCNABB
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:5437 SCOTTS VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95066-3428
Mailing Address - Country:US
Mailing Address - Phone:831-438-5400
Mailing Address - Fax:831-438-5402
Practice Address - Street 1:5437 SCOTTS VALLEY DR
Practice Address - Street 2:
Practice Address - City:SCOTTS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95066-3428
Practice Address - Country:US
Practice Address - Phone:831-438-5400
Practice Address - Fax:831-438-5402
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11773111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic