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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