Green, Brian Lee

Green, Brian Lee is an sole proprietor health care provider with primary practice located at 997 E County Line Rd Suite M, Greenwood IN 46143-1052. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Green, Brian Lee can be contacted via phone (317) 881-8119.

Contact Information

Primary practice address
997 E County Line Rd Suite M Greenwood IN 46143-1052
Phone: (317) 881-8119
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 08001136A Indiana

Profile Details

NPI number 1508922691
LBN Legal business name Green, Brian Lee
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 31st, 2006
Last updated May 12th, 2008 - about 17 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 1508922691 NPPES
Indiana Other 000000526653 ANTHEM
Indiana MEDICAID 100324790A ANTHEM

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