Provider Demographics
NPI:1659517845
Name:HOWE, GREGORY GRANT (DC)
Entity Type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:GRANT
Last Name:HOWE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:755 W. MICHIGAN AVE.
Mailing Address - Street 2:
Mailing Address - City:SALINE
Mailing Address - State:MI
Mailing Address - Zip Code:48176-1468
Mailing Address - Country:US
Mailing Address - Phone:734-429-7339
Mailing Address - Fax:734-429-4775
Practice Address - Street 1:755 W. MICHIGAN AVE.
Practice Address - Street 2:
Practice Address - City:SALINE
Practice Address - State:MI
Practice Address - Zip Code:48176-1468
Practice Address - Country:US
Practice Address - Phone:734-429-7339
Practice Address - Fax:734-429-4775
Is Sole Proprietor?:No
Enumeration Date:2008-12-18
Last Update Date:2008-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIL1330627111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MION59570Medicare PIN