Gregory Lee Holmberg, DC | |
8620 E 32nd Ct N, Wichita, KS 67226-4007 | |
(316) 612-0600 | |
(316) 612-1140 |
Full Name | Gregory Lee Holmberg |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 27 Years |
Location | 8620 E 32nd Ct N, Wichita, Kansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225060536 | NPI | - | NPPES |
P00229176 | Other | KS | MEDICARE RAILRD. |
062055 | Other | KS | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 0104872 (Kansas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Holmberg Wellness Group, Llc | 2668506262 | 3 |
Provider Name | Holmberg Wellness Group, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1891027157 PECOS PAC ID: 2668506262 Enrollment ID: O20100818000706 |
Mailing Address | Practice Location Address |
---|---|
Gregory Lee Holmberg, DC 4709 Eagles Landing St, Wichita, KS 67220-5506 Ph: (316) 734-9049 | Gregory Lee Holmberg, DC 8620 E 32nd Ct N, Wichita, KS 67226-4007 Ph: (316) 612-0600 |
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