MEDICARE: DR. GREGORY P HOELL DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	674	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1669574406	OTHER	MT	NPI
3	U28697	OTHER	MT	UPIN
4	40141	OTHER	MT	BCBS
5	810481198001	OTHER	MT	EBMS

General Provider Information

NPI Number	:	1669574406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GREGORY P HOELL DC

Provider Business Mailing Address
First Line	:	120 N 19TH AVE STE B
Second Line	:
City	:	BOZEMAN
State	:	MT
Zip	:	59718-3920
Country	:	US
Telephone Number	:	406-586-0275
Fax Number	:	406-586-0055

Provider Business Practice Location Address
First Line	:	120 N 19TH AVE STE B
Second Line	:
City	:	BOZEMAN
State	:	MT
Zip	:	59718-3920
Country	:	US
Telephone Number	:	406-586-0275
Fax Number	:	406-586-0055

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/02/2006
Last Update Date	:	12/07/2007

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Directions to “ DR. GREGORY P HOELL DC” Practice Location

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