Christa Adele Green
Physical Medicine & Rehabilitation Doctor
208 Concourse Blvd Ste 2
Santa Rosa
, California 95403-8210
Christa Adele Green
Physical Medicine & Rehabilitation Doctor
208 Concourse Blvd Ste 2
Santa Rosa
, California 95403-8210
(707) 303-4996
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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
Languages spoken
- English
Location
First Address
- Christa Adele Green
- 208 Concourse Blvd Ste 2
- Santa Rosa, CA
- Zip : 95403-8210
- Fax : (707) 303-4996
- Phone : (707) 303-4995
Second Address
- Christa Adele Green
- 208 Concourse Blvd Ste 2
- Santa Rosa, CA
- Zip : 95403-8210
- Fax : (707) 303-4996
- Phone : (707) 303-4995
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Is Christa Adele Green accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | PT298197 | CA |
National Provider Identifier
| NPI | 1043825748 |
|---|---|
| Provider Name | Christa Adele Green |
| First Address | Santa Rosa, CA 95403-8210 |
| Second Address | Santa Rosa, CA 95403-8210 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/09/2020 |
| Last Update Date | 10/09/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.