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Individual

ADAM S. GREENLEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C., L.A.C.

Contact information

Practice address
10622 STATE ROUTE 662 W, NEWBURGH, IN 47630-8845
(812) 490-9800
(812) 490-9801
Mailing address
2788 REINFORD DR, NEWBURGH, IN 47630-9146
(812) 449-7424

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002036A
IN
171100000X
Acupuncturist
81000041A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200406940A
IN
01
256840A
MEDICARE PTAN
IN
Enumeration date
11/30/2005
Last updated
05/14/2015
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