DR. MARK ALLEN GREEN D.C. NPI 1609968544

NPI Information

NPI: 1609968544
Provider Name: DR. MARK ALLEN GREEN, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
2137 DIXIE HWY
LOUISVILLE, KY
ZIP 40210
Phone: (502) 561-0490
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DR. Mark Allen Green, D.C. is a chiropractor in Louisville, KY. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Mark Allen Green, D.C. NPI is 1609968544. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2137 DIXIE HWY
LOUISVILLE, KY
ZIP 40210-242
Phone: (502) 561-0490
Fax: (502) 409-4964

The enumeration date for this NPI number is 9/28/2006 and was last updated on 10/30/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		08001343	INDIANA	No
2	111N00000X	Chiropractor		3776	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	50008078	OTHER	KENTUCKY	PASSPORT PROVIDER #
2	T54443	MEDICARE UPIN	KENTUCKY
3	2623859000	OTHER	KENTUCKY	PASSPORT ADVANTAGE ID#
4	000000051525	OTHER	KENTUCKY	ANTHEM #
5	85001758	MEDICAID	KENTUCKY
6	6097701	MEDICARE PIN	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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