Individual
GREGG C HEBEISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6280 HIGHWAY 65 NE, FRIDLEY, MN 55432-5188
(763) 571-9499
(763) 502-0364
Mailing address
6280 HIGHWAY 65 NE, FRIDLEY, MN 55432-5188
(763) 571-9499
(763) 502-0364
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC2214
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01005230
PREFERED ONE
MN
01
—
1026232
PAS
MN
01
—
13N21HE
BLUECROSS BLUESHIELD
MN
01
—
13N31HE
BLUECROSS BLUE SHIELD
MN
01
—
230321
UNITED HEALTHCARE
UT
01
—
231414
AMERICAN SPECIALTY HEALTH GROUP
CA
01
—
237P3HE
BLUECROSS BLUESHIELD
—
01
—
377
HEALTH SERVICE MGMT
MN
01
—
4425650
MEDICA
MN
01
—
44448225
MEDICA
TX
01
—
47676807801
CIGNA HEALTH CARE
IL
01
—
665950
DEFINITY HEALTH
GA
01
—
665950
AMERICAS PPO
MN
05
—
767527500
—
MN
Enumeration date
08/07/2008
Last updated
02/14/2012
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