Provider Demographics
NPI:1669574406
Name:HOELL, GREGORY P (DC)
Entity type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:P
Last Name:HOELL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:MR
Other - First Name:GREGORY
Other - Middle Name:P
Other - Last Name:HOELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:120 N 19TH AVE STE B
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59718-3920
Mailing Address - Country:US
Mailing Address - Phone:406-586-0275
Mailing Address - Fax:406-586-0055
Practice Address - Street 1:120 N 19TH AVE STE B
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59718-3920
Practice Address - Country:US
Practice Address - Phone:406-586-0275
Practice Address - Fax:406-586-0055
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT674111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT111N00000XMedicaid
MT1669574406OtherNPI
MTU28697OtherUPIN
MT40141OtherBCBS
MT810481198001OtherEBMS