Green, Jason M.

Green, Jason M. is an individual health care provider with primary practice located at 400 Broadway St , Galena IL 61036-1902. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Green, Jason M. can be contacted via phone (815) 777-0042.

Contact Information

Primary practice address
400 Broadway St Galena IL 61036-1902
Phone: (815) 777-0042
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038.011965 Illinois

Profile Details

NPI number 1811275795
LBN Legal business name Green, Jason M.
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2011
Last updated Jul 26th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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