MEDICARE: DR. GREGORY ALAN WHEELER 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	2092	NE

General Provider Information

NPI Number	:	1982622080
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GREGORY ALAN WHEELER D.C.

Provider Business Mailing Address
First Line	:	15520 ROCKFIELD BLVD A200
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92618-6705
Country	:	US
Telephone Number	:	949-598-9999
Fax Number	:	949-598-9990

Provider Business Practice Location Address
First Line	:	129 N MAIN ST
Second Line	:
City	:	HAY SPRINGS
State	:	NE
Zip	:	69347-6934
Country	:	US
Telephone Number	:	308-207-2757
Fax Number	:

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

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	11/07/2022

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