Provider Demographics
NPI:1942431770
Name:GINGREY, ELIZABETH KATHERINE (DC)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:KATHERINE
Last Name:GINGREY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2822 W 43RD ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55410-1696
Mailing Address - Country:US
Mailing Address - Phone:612-767-4680
Mailing Address - Fax:952-426-3413
Practice Address - Street 1:2822 W 43RD ST
Practice Address - Street 2:SUITE 100
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55410-1696
Practice Address - Country:US
Practice Address - Phone:612-767-4680
Practice Address - Fax:952-426-3413
Is Sole Proprietor?:No
Enumeration Date:2009-07-28
Last Update Date:2015-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5559111N00000X
NC3962111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor