DR. MICHAEL EDWARD GREEN DC NPI 1609861889

NPI Information

NPI: 1609861889
Provider Name: DR. MICHAEL EDWARD GREEN, DC
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
133 SYLVAN ST
DANVERS, MA
ZIP 01923
Phone: (978) 777-0918
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DR. Michael Edward Green, DC is a chiropractor in Danvers, MA. 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. Michael Edward Green, DC NPI is 1609861889. 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:

133 SYLVAN ST
DANVERS, MA
ZIP 01923
Phone: (978) 777-0918
Fax: (978) 774-7521

The enumeration date for this NPI number is 9/14/2005 and was last updated on 6/30/2010.

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		482	MAINE	No
2	111N00000X	Chiropractor		451	MASSACHUSETTS	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	Y35285	OTHER	MASSACHUSETTS	BC BS
2	Y35285	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
3	Y35285	MEDICAID	MASSACHUSETTS
4	304584	OTHER	MASSACHUSETTS	TUFTS

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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