Green, Michael Edward
Green, Michael Edward is an sole proprietor health care provider with primary practice located at 133 Sylvan St , Danvers MA 01923. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Green, Michael Edward can be contacted via phone (978) 777-0918.Contact Information
Primary practice address
133 Sylvan St
Danvers MA 01923
Phone: (978) 777-0918
Fax: (978) 774-7521
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Chiropractor | 111N00000X | 451 | Massachusetts |
Chiropractic Providers / Chiropractor | 111N00000X | 482 | Maine |
Profile Details
NPI number | 1609861889 |
---|---|
LBN Legal business name | Green, Michael Edward |
Credentials | Doctor of Chiropractic (DC) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 14th, 2005 |
Last updated | Jun 30th, 2010 - about 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1609861889 | NPPES |
Massachusetts | Other | Y35285 | BC BS |
Massachusetts | Other | 304584 | BC BS |
Massachusetts | MEDICAID | Y35285 | BC BS |
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