Provider Demographics
NPI:1932703048
Name:GREGG CHIROPRACTIC TROY, P.C.
Entity Type:Organization
Organization Name:GREGG CHIROPRACTIC TROY, P.C.
Other - Org Name:GREGG CHIROPRACTIC TROY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GREGG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-435-0925
Mailing Address - Street 1:215 E BIG BEAVER RD STE 400
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-1216
Mailing Address - Country:US
Mailing Address - Phone:248-435-0925
Mailing Address - Fax:
Practice Address - Street 1:215 E BIG BEAVER RD STE 400
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48083-1216
Practice Address - Country:US
Practice Address - Phone:248-435-0925
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-30
Last Update Date:2020-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty