Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NN0400X | Neurology | 4884 | IA |
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 4884 | IA |
NPI | 1881682961 |
---|---|
Provider Name | Dr. Gregory Robert Norton |
First Address | Windsor Heights, IA 50324-1024 |
Second Address | Windsor Heights, IA 50324-1024 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2005 |
Last Update Date | 25/01/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T001312 | (02) | IA |