Organization
GREENE CHIROPRACTIC CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW A GREENE D.C., D.A.B.C.O (OWNER)
(937) 587-2613
Entity
Organization
Contact information
Practice address
133 ELLIOTT AVE, PEEBLES, OH 45660-1027
(937) 587-2613
(937) 587-3911
Mailing address
133 ELLIOTT AVE, PEEBLES, OH 45660-1027
(937) 587-2613
(937) 587-3911
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0758943
—
OH
05
—
0764874
—
OH
05
—
2231409
—
OH
Enumeration date
01/12/2007
Last updated
03/31/2014
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