Hebeisen, Gregg C

Hebeisen, Gregg C is an individual health care provider with primary practice located at 6280 Highway 65 Ne , Fridley MN 55432-5188. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Hebeisen, Gregg C can be contacted via phone (763) 571-9499.

Contact Information

Primary practice address
6280 Highway 65 Ne Fridley MN 55432-5188
Fax: (763) 502-0364
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC2214 Minnesota

Profile Details

NPI number 1952557134
LBN Legal business name Hebeisen, Gregg C
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2008
Last updated Feb 14th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952557134 NPPES
Minnesota Other 1026232 PAS
Minnesota Other 13N21HE PAS
Minnesota Other 44448225 PAS
Minnesota Other 665950 PAS
Minnesota Other 665950 PAS
Minnesota Other 237P3HE PAS
Minnesota Other 13N31HE PAS
Minnesota MEDICAID 767527500 PAS
Minnesota Other 01005230 PAS
Minnesota Other 4425650 PAS
Minnesota Other 47676807801 PAS
Minnesota Other 230321 PAS
Minnesota Other 231414 PAS
Minnesota Other 377 PAS

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