Organization
THOMAS H. GREEN CHIROPRACTIC, LLC
Active
Other names
Green Chiropractic and Acupuncture
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS HOWARD GREEN D.C. (DOCTOR OF CHIROPRACTIC)
(417) 858-8818
Entity
Organization
Contact information
Practice address
8800 W STATE HIGHWAY 86, SHELL KNOB, MO 65747-9176
(417) 858-8818
(417) 858-8819
Mailing address
1134 W MAPLEWOOD ST, SPRINGFIELD, MO 65807-4763
(417) 522-9395
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
005235
MO
171100000X
Acupuncturist
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
756208302
—
MO
Enumeration date
08/03/2010
Last updated
08/03/2010
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