Dr Mitchell Wayne Green, DC | |
706 Ridge Rd, Munster, IN 46321-1612 | |
(219) 836-8890 | |
Not Available |
Full Name | Dr Mitchell Wayne Green |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 706 Ridge Rd, Munster, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174959977 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 08002727A (Indiana) | Primary |
111N00000X | Chiropractor | 038012402 (Illinois) | Secondary |
111N00000X | Chiropractor | 007695 (Iowa) | Secondary |
Provider Name | Carlson Chiropractic Corporation |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1982888020 PECOS PAC ID: 0749366821 Enrollment ID: O20080331000035 |
Mailing Address | Practice Location Address |
---|---|
Dr Mitchell Wayne Green, DC 706 Ridge Rd, Munster, IN 46321-1612 Ph: (219) 836-8890 | Dr Mitchell Wayne Green, DC 706 Ridge Rd, Munster, IN 46321-1612 Ph: (219) 836-8890 |
Mr. Jose Cordova, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 8000 Calumet Ave, Munster, IN 46321 Phone: 219-836-2580 Fax: 219-836-9366 | |
Dr. Lisa Gaye Hodges, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 609 Ridge Rd, Munster, IN 46321 Phone: 219-836-3952 Fax: 219-836-3054 | |
Trimboli Bogie Inc Pc Chiropractor Medicare: Medicare Enrolled Practice Location: 706 Ridge Rd, Munster, IN 46321 Phone: 219-836-8890 Fax: 219-836-2344 | |
Tyler Gress, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1928 45th St, Munster, IN 46321 Phone: 219-476-7246 | |
Dr. Amy Elaine Shevokas, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 706 Ridge Rd, Munster, IN 46321 Phone: 219-836-8890 Fax: 219-836-2344 | |
Dr. Theodore Xenophon Economou, DR OF CHIROPRACTIC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1644 45th Street, Suite F, Munster, IN 46321 Phone: 219-924-5735 |