Gregory J Nystrom in Green Bay - Chiropractor
Gregory J Nystrom - NPI 1871572321
Gregory J Nystrom is a Chiropractor in Green Bay, Wisconsin. Gregory J Nystrom practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Gregory J Nystrom is 1871572321. The last update date is 2021-11-23.
Gregory J Nystrom's current location address is 1441 Bellevue St, Green Bay, Wisconsin. You can contact this provider via phone number 9204657772 and fax number 9204689785. The mailing address for Gregory J Nystrom is 1441 Bellevue St, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory J Nystrom |
|---|---|
| Address | 1441 Bellevue St, Green Bay, Wisconsin |
| Phone Number | 9204657772 |
| Fax Number | 9204689785 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1871572321 |
|---|---|
| Provider Enumeration Date | 2006-01-12 |
| Last Updated Date | 2021-11-23 |
Provider Mailing Address Detail
| Address | 1441 Bellevue St |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543115605 |
| Phone Number | 9204657772 |
| Fax Number | 9204689785 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 3062 |
|
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3889700 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Gregory J Nystrom by the Centers for Medicare & Medicaid Services?
The Gregory J Nystrom has been issued the NPI (National Provider Identifier) 1871572321 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Gregory J Nystrom located?
The Gregory J Nystrom is located at 1441 Bellevue St, Green Bay, WI 543115605.
What is Gregory J Nystrom's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Gregory J Nystrom is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.
When did the Gregory J Nystrom receive its 1871572321?
The Gregory J Nystrom was issued its 1871572321 on 2006-01-12, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Gregory J Nystrom, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Gregory J Nystrom, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-11-23.
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