Jacqualyn F. Green in Indianapolis - Clinical
Jacqualyn F. Green - NPI 1093861932
Jacqualyn F. Green is a Clinical in Indianapolis, Indiana. Jacqualyn F. Green practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jacqualyn F. Green is 1093861932. The last update date is 2007-07-08.
Jacqualyn F. Green's current location address is 4755 Kingsway Dr Ste 308, Indianapolis, Indiana. You can contact this provider via phone number 3172576773 and fax number 3178631414. The mailing address for Jacqualyn F. Green is 4755 Kingsway Dr Ste 308, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacqualyn F. Green |
|---|---|
| Address | 4755 Kingsway Dr Ste 308, Indianapolis, Indiana |
| Phone Number | 3172576773 |
| Fax Number | 3178631414 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1093861932 |
|---|---|
| Provider Enumeration Date | 2007-01-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4755 Kingsway Dr Ste 308 |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462051571 |
| Phone Number | 3172576773 |
| Fax Number | 3178631414 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 34000712A |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jacqualyn F. Green by the Centers for Medicare & Medicaid Services?
The Jacqualyn F. Green has been assigned the NPI (National Provider Identifier) 1093861932 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Jacqualyn F. Green's facilities are geographically located?
The facilities of Jacqualyn F. Green are physically situated at the following location: 4755 Kingsway Dr Ste 308, Indianapolis, IN, 462051571.
What is Jacqualyn F. Green's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jacqualyn F. Green is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Jacqualyn F. Green receive the assignment of its 1093861932 from the Centers for Medicare & Medicaid Services?
The Jacqualyn F. Green was issued its 1093861932 by the Centers for Medicare & Medicaid Services on 2007-01-25.
When was the information regarding Jacqualyn F. Green, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jacqualyn F. Green, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.