Edward Glendon Greene in Saint Joseph - Physical Therapist

Edward Glendon Greene - NPI 1639258288

Edward Glendon Greene is a Physical Therapist in Saint Joseph, Michigan. Edward Glendon Greene practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Edward Glendon Greene is 1639258288. The last update date is 2019-08-09.

Edward Glendon Greene's current location address is 2500 Niles Rd, Saint Joseph, Michigan. You can contact this provider via phone number 2694287150 and fax number 2694287152. The mailing address for Edward Glendon Greene is 2500 Niles Rd, Saint Joseph, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Edward Glendon Greene
Address 2500 Niles Rd, Saint Joseph, Michigan
Phone Number 2694287150
Fax Number 2694287152
Sole Proprietor N
Credentials MPH, PT

NPI Number Detail

NPI Number 1639258288
Provider Enumeration Date 2006-11-03
Last Updated Date 2019-08-09

Provider Mailing Address Detail

Address 2500 Niles Rd
City Saint Joseph
State Michigan (MI)
Post Code 490853237
Phone Number 2694287150
Fax Number 2694287152

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No 2576
Definition:
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
650A111540 MI BCBSM
17498 MA PT LICENCE NUMBER MA
5501006499 MI PT LICENCE NUMBER MI

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FAQs about Edward Glendon Greene

What is the unique 10-digit identifier code assigned to Edward Glendon Greene by the Centers for Medicare & Medicaid Services?

The Edward Glendon Greene has been issued the NPI (National Provider Identifier) 1639258288 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Edward Glendon Greene's physical address?

The Edward Glendon Greene is physically located at 2500 Niles Rd, in the city of Saint Joseph, MI, with the postal code 490853237.

What is Edward Glendon Greene's area of expertise and its corresponding taxonomy classification?

The Edward Glendon Greene's field of specialization is Physical Therapist, and it falls under the taxonomy code 225100000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services assign the 1639258288 to Edward Glendon Greene?

The Centers for Medicare & Medicaid Services assigned the 1639258288 to Edward Glendon Greene on 2006-11-03.

As of what date were the details related to Edward Glendon Greene most recently updated or revised?

The information pertaining to Edward Glendon Greene, including its address, specialty, and other relevant details, was last updated or revised on 2019-08-09.

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