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
Fax: (978) 774-7521
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609861889 NPPES
Massachusetts Other Y35285 BC BS
Massachusetts Other 304584 BC BS
Massachusetts MEDICAID Y35285 BC BS

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