Organization
JAMES E. GREATHOUSE, JR., DCPA
Active
Organization
JAMES E. GREATHOUSE, JR., DCPA
Active
Other names
Dr. James E. Greathouse, Jr.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARILYN A GREATHOUSE (OFFICE MANAGER)
(321) 725-6314
Entity
Organization
Contact information
Practice address
1589 S WICKHAM RD, W MELBOURNE, FL 32904-3540
(321) 725-6314
(321) 724-1533
Mailing address
1589 S WICKHAM RD, W MELBOURNE, FL 32904-3540
(321) 725-6314
(321) 724-1533
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
CH4246
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88014
MEDICARE PTAN
FL
Enumeration date
01/24/2012
Last updated
01/27/2012
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