Organization
GREEN FAMILY CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL M GREEN DC (OWNER)
(816) 387-8994
Entity
Organization
Contact information
Practice address
1338 N BELT HWY STE C, SAINT JOSEPH, MO 64506-3081
(816) 387-8994
(816) 387-8220
Mailing address
1338 N BELT HWY STE C, SAINT JOSEPH, MO 64506-3081
(816) 387-8994
(816) 387-8220
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2011000648
MO
111NN1001X
Nutrition Chiropractor
2011000648
MO
111NP0017X
Pediatric Chiropractor
2011000648
MO
Other
Enumeration date
01/11/2011
Last updated
03/25/2011
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