Provider Demographics
NPI:1992835482
Name:PLAUGHER, GREGORY (DC)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:
Last Name:PLAUGHER
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 1:2447 SANTA CLARA AVE
Mailing Address - Street 2:301
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-4575
Mailing Address - Country:US
Mailing Address - Phone:510-909-1268
Mailing Address - Fax:510-217-2423
Practice Address - Street 1:2447 SANTA CLARA AVE
Practice Address - Street 2:301
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94501-4575
Practice Address - Country:US
Practice Address - Phone:510-909-1268
Practice Address - Fax:510-217-2423
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-18592111NI0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0900XChiropractic ProvidersChiropractorInternist