Organization
GREENE SPECIFIC CHIROPRACTIC CLINIC PC
Active
Organization
GREENE SPECIFIC CHIROPRACTIC CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT C. GREENE DC (OWNER)
(812) 354-6807
Entity
Organization
Contact information
Practice address
712 E MAIN ST, PETERSBURG, IN 47567-1231
(812) 354-6807
(812) 354-3036
Mailing address
712 E MAIN ST, PETERSBURG, IN 47567-1231
(812) 354-6807
(812) 354-3036
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
08001548A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000228710
ANTHEM BC/BS GROUP
IN
01
—
000000228713
ANTHEM BC/BS
IN
05
—
200030600
—
IN
01
—
327644
HEALTHLINK
IN
01
—
350032460
RAILROAD MEDICARE
IN
01
—
645927
ACN GROUP
IN
Enumeration date
04/10/2008
Last updated
08/03/2015
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