Individual
ELIJAH WALKER GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1405 S DETROIT ST, BELLEFONTAINE, OH 43311-9709
(937) 592-6321
Mailing address
1405 S DETROIT ST, BELLEFONTAINE, OH 43311-9709
(937) 592-6321
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
05104
OH
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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