1699771337 NPI number — DR. GREG A MCGILLIVRAY DC

Table of content: DR. GREG A MCGILLIVRAY DC (NPI 1699771337)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699771337 NPI number — DR. GREG A MCGILLIVRAY DC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCGILLIVRAY
Provider First Name:
GREG
Provider Middle Name:
A
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DC
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1699771337
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/29/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2222 E 5TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SUPERIOR
Provider Business Mailing Address State Name:
WI
Provider Business Mailing Address Postal Code:
54880-3709
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
715-392-1955
Provider Business Mailing Address Fax Number:
715-392-1935

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4602 GRAND AVE STE 1000
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DULUTH
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55807-2712
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
218-336-3520
Provider Business Practice Location Address Fax Number:
218-324-6097
Provider Enumeration Date:
06/27/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  3296 , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)