Provider Demographics
NPI:1235187402
Name:GREENSPAN ENTERPRISES, INC.
Entity Type:Organization
Organization Name:GREENSPAN ENTERPRISES, INC.
Other - Org Name:GREENSPAN CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:GAIL
Authorized Official - Last Name:GREENSPAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:864-944-6467
Mailing Address - Street 1:397 JOCASSEE LAKE RD
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:SC
Mailing Address - Zip Code:29676-2229
Mailing Address - Country:US
Mailing Address - Phone:864-944-6467
Mailing Address - Fax:864-944-6822
Practice Address - Street 1:261 ASHELAND AVE
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4054
Practice Address - Country:US
Practice Address - Phone:864-944-6467
Practice Address - Fax:864-944-6822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-04
Last Update Date:2017-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1659111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6908336Medicaid
NC2453752Medicare ID - Type UnspecifiedGROUP NUMBER