Dr. Rebecca A Green
Chiropractic Sports Physician
121 Broadway St Suite 2
Colchester
, Connecticut 06415-1052
Dr. Rebecca A Green
Chiropractic Sports Physician
121 Broadway St Suite 2
Colchester
, Connecticut 06415-1052
(860) 537-8868
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About
Features
Specialties
- Chiropractic Sports Physician
Languages spoken
- English
Location
First Address
- Dr. Rebecca A Green
- Po Box 1632
- Middletown, CT
- Zip : 06457-8132
- Fax : (860) 537-8868
- Phone : (860) 537-8900
Second Address
- Dr. Rebecca A Green
- 121 Broadway St Suite 2
- Colchester, CT
- Zip : 06415-1052
- Fax : (860) 537-8868
- Phone : (860) 537-8900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Sports Physician | 001023 | CT |
National Provider Identifier
| NPI | 1013106046 |
|---|---|
| Provider Name | Dr. Rebecca A Green |
| First Address | Middletown, CT 06457-8132 |
| Second Address | Colchester, CT 06415-1052 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/10/2007 |
| Last Update Date | 16/10/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 050001023CT04 | ANTHEM BCBS (01) | CT |
| 3984974 | AETNA (01) | CT |
| CT01023 | HEALTH NET (01) | CT |
| U55453 | (02) | CT |
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.