MEDICARE: DR. GREGORY A. CLAYPOOL D.C.

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	WI-3444	WI

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

General Provider Information

NPI Number	:	1063528032
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GREGORY A. CLAYPOOL D.C.

Provider Business Mailing Address
First Line	:	W194 N16775 EAGLE DR.
Second Line	:
City	:	JACKSON
State	:	WI
Zip	:	53037
Country	:	US
Telephone Number	:	262-677-2700
Fax Number	:

Provider Business Practice Location Address
First Line	:	W194 N16775 EAGLE DR.
Second Line	:
City	:	JACKSON
State	:	WI
Zip	:	53037-9634
Country	:	US
Telephone Number	:	262-677-2700
Fax Number	:

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

Provider Enumeration Date	:	08/22/2006
Last Update Date	:	09/14/2012

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