Individual
DR. GREGORY J. HOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4771 TRIER ROAD, FORT WAYNE, IN 46815
(260) 492-8300
(260) 492-8301
Mailing address
4771 TRIER RD, FORT WAYNE, IN 46815-4968
(260) 492-8300
(260) 492-8301
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001092
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100081330A
—
IN
05
—
200949240A
—
IN
Enumeration date
10/02/2006
Last updated
02/28/2017
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