Green, Rebecca A
Green, Rebecca A is an sole proprietor health care provider with primary practice located at 121 Broadway St Suite 2, Colchester CT 06415-1052. She recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as her primary health care specialty. Green, Rebecca A can be contacted via phone (860) 537-8900.Contact Information
Primary practice address
121 Broadway St Suite 2
Colchester CT 06415-1052
Phone: (860) 537-8900
Fax: (860) 537-8868
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Sports Physician | 111NS0005X | 001023 | Connecticut |
Profile Details
| NPI number | 1013106046 |
|---|---|
| LBN Legal business name | Green, Rebecca A |
| Credentials | DC, DACBSP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 16th, 2007 |
| Last updated | Oct 16th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013106046 | NPPES |
| Connecticut | Other | 050001023CT04 | ANTHEM BCBS |
| Connecticut | Other | CT01023 | ANTHEM BCBS |
| Connecticut | Other | 3984974 | ANTHEM BCBS |
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