Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 1034 | MA |
NPI | 1013072529 |
---|---|
Provider Name | Dr. Roland Francis Greene |
First Address | Townsend, MA 01469-0889 |
Second Address | Townsend, MA 01469-1096 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/12/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T58382 | (02) |