Greene Specific Chiropractic Clinic Pc in Petersburg - Rehabilitation

Greene Specific Chiropractic Clinic Pc - NPI 1205009206

Greene Specific Chiropractic Clinic Pc is a Rehabilitation in Petersburg, Indiana. Greene Specific Chiropractic Clinic Pc practices all healthcare services and medical treatments related to Rehabilitation. The NPI Number for Greene Specific Chiropractic Clinic Pc is 1205009206. The last update date is 2015-08-03.

Greene Specific Chiropractic Clinic Pc's current location address is 712 E Main St, Petersburg, Indiana. You can contact this provider via phone number 8123546807 and fax number 8123543036. The mailing address for Greene Specific Chiropractic Clinic Pc is 712 E Main St, Petersburg, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Greene Specific Chiropractic Clinic Pc
Address 712 E Main St, Petersburg, Indiana
Phone Number 8123546807
Fax Number 8123543036
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Greene C. Robert
Credentials DC
Telephone Number 8123546807

NPI Number Detail

NPI Number 1205009206
Provider Enumeration Date 2008-04-10
Last Updated Date 2015-08-03

Provider Mailing Address Detail

Address 712 E Main St
City Petersburg
State Indiana (IN)
Post Code 475671231
Phone Number 8123546807
Fax Number 8123543036

Provider's Primary Taxonomy Detail

Speciality Rehabilitation
Taxonomy 111Nr0400X
Licence No 08001548A
Definition:
Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
228713 IN ANTHEM BC/BS
645927 IN ACN GROUP
228710 IN ANTHEM BC/BS GROUP
327644 IN HEALTHLINK
200030600 IN --
350032460 IN RAILROAD MEDICARE

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FAQs about Greene Specific Chiropractic Clinic Pc

What is the unique 10-digit identification code assigned to Greene Specific Chiropractic Clinic Pc by the Centers for Medicare & Medicaid Services?

The Greene Specific Chiropractic Clinic Pc has been issued the NPI (National Provider Identifier) 1205009206, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Greene Specific Chiropractic Clinic Pc is located?

The Greene Specific Chiropractic Clinic Pc is situated at the following address: 712 E Main St, Petersburg, IN, 475671231.

What is Greene Specific Chiropractic Clinic Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Greene Specific Chiropractic Clinic Pc's specialized field of practice is Rehabilitation, and the corresponding taxonomy code that categorizes this area of specialization is 111Nr0400X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1205009206 to Greene Specific Chiropractic Clinic Pc?

The Centers for Medicare & Medicaid Services originally issued the 1205009206 to Greene Specific Chiropractic Clinic Pc on 2008-04-10.

When was the information pertaining to Greene Specific Chiropractic Clinic Pc most recently updated or revised?

The details related to Greene Specific Chiropractic Clinic Pc, including its address, specialty, and other relevant information, were last updated or revised on 2015-08-03.

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