Gregory Allan Holmberg, DC
Individual provider Active NPI Chiropractor · Osseo, MN
NPI 1366529752 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1366529752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2060 (MN)
- Practice address
- #8 3Rd Street NW
Osseo, MN 55316 - Phone
- (763) 493-3594
- Fax
- (763) 493-3594
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2060 | MN | MD | Gerontology Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2060 | MN | Yes |
Addresses
Primary practice location
#8 3Rd Street NW
Osseo, MN 55316
Mailing address
#8 3Rd Street NW
Osseo, MN 55316
Phone (763) 493-3594
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0B175H0 | Other | MN | BCBS MN |
| 07257H0 | Other | MN | BCBS MN |
Other providers in Osseo, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.