Provider Demographics
NPI:1730412370
Name:GIASSON, GREGORY MICHAEL (DC)
Entity type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:MICHAEL
Last Name:GIASSON
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 1:8 ESSEX WAY
Mailing Address - Street 2:STE 204
Mailing Address - City:ESSEX JUNCTION
Mailing Address - State:VT
Mailing Address - Zip Code:05452-3425
Mailing Address - Country:US
Mailing Address - Phone:802-878-1229
Mailing Address - Fax:802-878-1209
Practice Address - Street 1:8 ESSEX WAY
Practice Address - Street 2:SUITE 204
Practice Address - City:ESSEX JUNCTION
Practice Address - State:VT
Practice Address - Zip Code:05452-3425
Practice Address - Country:US
Practice Address - Phone:802-878-1229
Practice Address - Fax:802-878-1209
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-15
Last Update Date:2014-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0060067011111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor