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NPI Code Detail

MEDICARE: DR. TOBY CHARLES GREEN D.C.

MEDICARE:  DR. TOBY CHARLES GREEN  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor1387NE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
209698OTHERNEBCBS
3247128OTHERNEMIDLANDS CHOICE

General Provider Information

NPI Number : 1326125451
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TOBY CHARLES GREEN D.C.
Provider Business Mailing Address
First Line : 5314 S 190TH TER
Second Line :
City : OMAHA
State : NE
Zip : 68135-4107
Country : US
Telephone Number : 402-212-1470
Fax Number :
Provider Business Practice Location Address
First Line : 18460 WRIGHT ST STE 9
Second Line :
City : OMAHA
State : NE
Zip : 68130-2889
Country : US
Telephone Number : 402-933-5392
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 07/08/2007

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Directions to “ DR. TOBY CHARLES GREEN D.C.” Practice Location

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