Doctor Name: | DR. MAYER GREEN |
NPI Number: | 1922203785 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | S03527 |
Business Practice Address: | 11301 Amherst Ave Ste 102 Silver Spring, MD - 209024665 |
Business Phone Number: | 3019337827 |
Business Fax Number: | 2402900342 |
Mailing Address: | 11006 Veirs Mill Rd, #l15-282 SILVER SPRING |
State: | MD |
Postal Code: | 209022582 |
Phone Number: | 3019337827 |
Fax Number: | 2402900342 |
NPI Enumeration Date: | 06/20/2007 |
NPI Last Update Date: | 01/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | S03527 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |