Mcdonnell, Gregory Michael

Mcdonnell, Gregory Michael is an individual health care provider with primary practice located at 3220 Bridge St Nw Ste 108 , Saint Francis MN 55070-8631. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Other Service Providers / Acupuncturist. Chiropractic Providers / Chiropractor is his primary health care specialty. Mcdonnell, Gregory Michael can be contacted via phone (763) 452-0171.

Contact Information

Primary practice address
3220 Bridge St Nw Ste 108 Saint Francis MN 55070-8631
Phone: (763) 452-0171
Fax: (513) 912-0776
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4112 Ohio
Other Service Providers / Acupuncturist 171100000X ACPU-00177 Ohio
Other Service Providers / Acupuncturist 171100000X 1074 Minnesota
Chiropractic Providers / Chiropractor 111N00000X 4979 Minnesota

Profile Details

NPI number 1619119138
LBN Legal business name Mcdonnell, Gregory Michael
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2009
Last updated Nov 30th, 2023 - about last year

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 1619119138 NPPES
Ohio MEDICAID 3138456

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