Individual
DR. GREGORY JOHN MONGEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2855 S 70TH ST, STE 101, LINCOLN, NE 68506-3700
(402) 483-4300
(402) 483-7789
Mailing address
2855 S 70TH ST, STE 101, LINCOLN, NE 68506-3700
(402) 483-4300
(402) 483-7789
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038011535
IL
111N00000X
Chiropractor
Primary
1558
NE
111N00000X
Chiropractor
4427
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025835600
—
NE
05
—
782696600
—
MN
Enumeration date
03/27/2007
Last updated
05/10/2010
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