Provider Type Icon

DR. GARY LYNN GREENLEE D.C. NPI 1043497043


NPI Information

NPI: 1043497043
Provider Name: DR. GARY LYNN GREENLEE, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
108 FRIZZELL ST
POTOSI, MO
ZIP 63664
Phone: (573) 438-8500
Get Directions

DR. Gary Lynn Greenlee, D.C. is a chiropractor in Potosi, MO with 21 years of experience. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Gary Lynn Greenlee, D.C. NPI is 1043497043. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOGAN COLLEGE OF CHIROPRACTIC
Graduation Year:2003

The provider's business location address is:

108 FRIZZELL ST
POTOSI, MO
ZIP 63664-505
Phone: (573) 438-8500
Fax: (573) 438-8787

The enumeration date for this NPI number is 1/22/2008 and was last updated on 6/17/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor2003017111MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1255780001MEDICARE PINMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.