Individual
ROBERT D GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2900 POLO PKWY STE 101, MIDLOTHIAN, VA 23113-1423
(804) 378-6035
(804) 560-9360
Mailing address
2900 POLO PKWY STE 101, MIDLOTHIAN, VA 23113-1423
(804) 378-6035
(804) 560-9360
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556304
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
183417
ANTHEM BCBS
VA
01
—
298933
ANTHEM- ACTIVE CHIRO
—
01
—
7993638
AETNA
VA
Enumeration date
03/30/2006
Last updated
01/31/2023
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