Individual
DR. THOMAS L GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
606 N 66TH ST., LINCOLN, NE 68505-2408
(402) 466-6454
(402) 466-7829
Mailing address
606 N. 66TH STREET, LINCOLN, NE 68505-2408
(402) 466-6454
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
838
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350056842
RAILROOAD
NE
01
—
36638
BLUE CROSS BLUE SHIELD
NE
05
—
47067810900
—
NE
Enumeration date
01/16/2007
Last updated
11/26/2018
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