Matthew Stuart Green in Oakland - Sports Physician
Matthew Stuart Green - NPI 1124220793
Matthew Stuart Green is a Sports Physician in Oakland, California. Matthew Stuart Green practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Matthew Stuart Green is 1124220793. The last update date is 2013-07-22.
Matthew Stuart Green's current location address is 6232 La Salle Ave, Oakland, California. You can contact this provider via phone number 5102009000 and fax number 5107884034. The mailing address for Matthew Stuart Green is 6232 La Salle Ave, Oakland, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew Stuart Green |
|---|---|
| Address | 6232 La Salle Ave, Oakland, California |
| Phone Number | 5102009000 |
| Fax Number | 5107884034 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1124220793 |
|---|---|
| Provider Enumeration Date | 2007-06-04 |
| Last Updated Date | 2013-07-22 |
Provider Mailing Address Detail
| Address | 6232 La Salle Ave |
|---|---|
| City | Oakland |
| State | California (CA) |
| Post Code | 946112804 |
| Phone Number | 5102009000 |
| Fax Number | 5107884034 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | DC28669 |
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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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Post Comment/ Review Below
What is the Matthew Stuart Green's 1124220793?
The Matthew Stuart Green's NPI (National Provider Identifier) Number is 1124220793. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Matthew Stuart Green's physical address?
The Matthew Stuart Green is physically located at 6232 La Salle Ave, in the city of Oakland, CA, with the postal code 946112804.
What is Matthew Stuart Green's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Matthew Stuart Green is Sports Physician, and the taxonomy code that categorizes this field of expertise is 111Ns0005X.
On what date did the Centers for Medicare & Medicaid Services assign the 1124220793 to Matthew Stuart Green?
The Centers for Medicare & Medicaid Services assigned the 1124220793 to Matthew Stuart Green on 2007-06-04.
As of what date was the information pertaining to Matthew Stuart Green, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Matthew Stuart Green, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-07-22.