Green, Adam Wayne

Green, Adam Wayne is an individual health care provider with primary practice located at 2710 Broadway Extension , Parkersburg WV 26101-6856. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Green, Adam Wayne can be contacted via phone (304) 485-0106.

Contact Information

Primary practice address
2710 Broadway Extension Parkersburg WV 26101-6856
Phone: (304) 485-0106
Fax: (304) 485-5671
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 565 West Virginia

Profile Details

NPI number 1881692127
LBN Legal business name Green, Adam Wayne
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881692127 NPPES
West Virginia MEDICAID 0131852000
West Virginia Other 550712981002
West Virginia Other 155071298100

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