Organization
ST JOHN CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY SCOTT GREEN D.C. (OWNER)
(810) 736-2360
Entity
Organization
Contact information
Practice address
3020 RICHFIELD RD, FLINT, MI 48506-2472
(810) 736-2360
(810) 736-2399
Mailing address
3020 RICHFIELD RD, FLINT, MI 48506-2472
(810) 736-2360
(810) 736-2399
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
JG007044
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3411331
—
MI
Enumeration date
11/14/2006
Last updated
08/22/2020
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