Individual
DR. TOBY CHARLES GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
18460 WRIGHT ST STE 9, OMAHA, NE 68130-2889
(402) 933-5392
Mailing address
5314 S 190TH TER, OMAHA, NE 68135-4107
(402) 212-1470
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1387
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09698
BCBS
NE
05
—
10025294100
—
NE
01
—
247128
MIDLANDS CHOICE
NE
Enumeration date
11/01/2006
Last updated
07/08/2007
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