Provider Demographics
NPI:1962490862
Name:GREENE, CATHERINE ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:ANN
Last Name:GREENE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:CATHERINE
Other - Middle Name:
Other - Last Name:RIPLEY GREENE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:869 MAIN STREET
Mailing Address - Street 2:SUITE ONE
Mailing Address - City:WALPLE
Mailing Address - State:MA
Mailing Address - Zip Code:02081
Mailing Address - Country:US
Mailing Address - Phone:508-668-5228
Mailing Address - Fax:508-668-1674
Practice Address - Street 1:869 MAIN ST
Practice Address - Street 2:SUITE ONE
Practice Address - City:WALPOLE
Practice Address - State:MA
Practice Address - Zip Code:02081-2985
Practice Address - Country:US
Practice Address - Phone:508-668-5228
Practice Address - Fax:508-668-1674
Is Sole Proprietor?:No
Enumeration Date:2005-10-13
Last Update Date:2007-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1818111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY36285OtherBLUE CROSS
MAY36285Medicare ID - Type Unspecified