Organization
GREEN CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS L. GREEN DC (DOCTOR/OWNER)
(402) 466-6454
Entity
Organization
Contact information
Practice address
1161 N COTNER BLVD, LINCOLN, NE 68505-1835
(402) 466-6454
(402) 466-7829
Mailing address
1161 N COTNER BLVD, LINCOLN, NE 68505-1835
(402) 466-6454
(402) 466-7829
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
838
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350056842
RAILROAD
NE
01
—
36638
BLUE CROSS BLUE SHIELD
NE
05
—
47067810900
—
NE
Enumeration date
01/05/2009
Last updated
03/27/2014
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