Green, Adlai Steven

Green, Adlai Steven is an individual health care provider with primary practice located at 424 N Park Ave , Apopka FL 32712-4152. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Green, Adlai Steven can be contacted via phone (407) 886-0611.

Contact Information

Primary practice address
424 N Park Ave Apopka FL 32712-4152
Phone: (407) 886-0611
Fax: (407) 886-2817
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH2710 Florida

Profile Details

NPI number 1760481063
LBN Legal business name Green, Adlai Steven
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Sep 30th, 2011 - about 13 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 1760481063 NPPES
Florida MEDICAID 380410100

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