Green, Joel G

Green, Joel G is an individual health care provider with primary practice located at 310 Lafayette St , Salem MA 01970-5442. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Green, Joel G can be contacted via phone (978) 744-1123.

Contact Information

Primary practice address
310 Lafayette St Salem MA 01970-5442
Phone: (978) 744-1123
Fax: (978) 744-9683
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 489 Massachusetts
Chiropractic Providers / Chiropractor 111N00000X 2901 Florida

Profile Details

NPI number 1770568552
LBN Legal business name Green, Joel G
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Jul 13th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1770568552 NPPES
Massachusetts MEDICAID 1603531

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