Greene, Charles Henry
Greene, Charles Henry is an individual health care provider with primary practice located at 203 S Polk St , Albany MO 64402-1618. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Greene, Charles Henry can be contacted via phone (660) 726-5762.Contact Information
Primary practice address
203 S Polk St
Albany MO 64402-1618
Phone: (660) 726-5762
Fax: (660) 726-5764
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 104902 | Missouri |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1101879 | Kansas |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports | 2251S0007X | 104902 | Missouri |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 1068862 | Missouri |
Profile Details
| NPI number | 1073554986 |
|---|---|
| LBN Legal business name | Greene, Charles Henry |
| Credentials | MS, PT, ATC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2006 |
| Last updated | Jul 8th, 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 | 1073554986 | NPPES |
| Missouri | Other | 25783024 | BLUE CROSS BLUE SHIELD |
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