Provider Demographics
NPI:1134210255
Name:ARMSTRONG, GREGORY C (DC)
Entity type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:C
Last Name:ARMSTRONG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 HUNTER STATION RD
Mailing Address - Street 2:
Mailing Address - City:SELLERSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47172-1879
Mailing Address - Country:US
Mailing Address - Phone:812-246-8808
Mailing Address - Fax:812-246-8808
Practice Address - Street 1:205 HUNTER STATION RD
Practice Address - Street 2:
Practice Address - City:SELLERSBURG
Practice Address - State:IN
Practice Address - Zip Code:47172-1879
Practice Address - Country:US
Practice Address - Phone:812-246-8808
Practice Address - Fax:812-246-8808
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2012-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001229111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
INT92098Medicare UPIN