Individual
DR. JUSTIN B. GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2309 E MAIN ST, SUITE 201, NEW IBERIA, LA 70560-4046
(337) 364-8878
(337) 364-8380
Mailing address
2309 E MAIN ST, SUITE 201, NEW IBERIA, LA 70560-4046
(337) 560-5543
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PD324R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1462462
—
LA
01
—
2223526
FIRST HEALTH
LA
01
—
7714575
AETNA
LA
01
—
PD324R
STATE LICENSE #
LA
Enumeration date
07/18/2005
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us