Bart Nels Green in San Diego - Sports Physician
Bart Nels Green - NPI 1386610681
Bart Nels Green is a Sports Physician in San Diego, California. Bart Nels Green practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Bart Nels Green is 1386610681. The last update date is 2016-03-29.
Bart Nels Green's current location address is 10155 Pacific Heights Blvd, San Diego, California. You can contact this provider via phone number 8586515918 and fax number 8586221658. The mailing address for Bart Nels Green is 10155 Pacific Heights Blvd, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bart Nels Green |
|---|---|
| Address | 10155 Pacific Heights Blvd, San Diego, California |
| Phone Number | 8586515918 |
| Fax Number | 8586221658 |
| Sole Proprietor | Y |
| Credentials | DC, PHD |
NPI Number Detail
| NPI Number | 1386610681 |
|---|---|
| Provider Enumeration Date | 2006-02-27 |
| Last Updated Date | 2016-03-29 |
Provider Mailing Address Detail
| Address | 10155 Pacific Heights Blvd |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 92121 |
| Phone Number | 8586515918 |
| Fax Number | 8586221658 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | DC22689 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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What is the Bart Nels Green's 1386610681?
The Bart Nels Green's NPI (National Provider Identifier) Number is 1386610681. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Bart Nels Green?
The Bart Nels Green is situated at 10155 Pacific Heights Blvd, in the city of San Diego, state of CA, with the zip code 92121.
What is the Bart Nels Green's specialty and taxonomy code?
The Bart Nels Green's specialty is Sports Physician, and the corresponding taxonomy code is 111Ns0005X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1386610681 to Bart Nels Green?
The Centers for Medicare & Medicaid Services originally issued the 1386610681 to Bart Nels Green on 2006-02-27.
When was the Bart Nels Green's information last updated?
The Bart Nels Green's information was last updated on 2016-03-29.
NPI Number: 1073517686
Address: 2100 Martin Luther King Jr Blvd, Clovis, NM