CHRISTOPHER GREEN LAT ATC
NPI 1356793251
Student in an Organized Health Care Education/Training Program in Jacksonville, FL

Active since July 05, 2016
3816 N MAIN ST, JACKSONVILLE, FL 32206(904) 630-6950 Get Directions Write a Review

NPPES record last updated: July 5, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Christopher Green Lat Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRISTOPHER GREEN LAT ATC (NPI 1356793251) is an individual student in an organized health care education/training program in Jacksonville, Florida, licensed in Florida (AL4362) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1356793251
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCHRISTOPHER GREENCredential: LAT ATC
Location Address3816 N MAIN STJacksonville, FL 32206-1450
Mailing Address3816 N Main StJacksonville, FL 32206-1450
Sole ProprietorNo
Enumeration DateJuly 5, 2016
NPI 1356793251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in FL · AL4362
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3816 N MAIN ST, Jacksonville, FL 32206

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist/Technologist (Athletic Trainer)
3816 N MAIN ST
JACKSONVILLE, FL 32206

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356793251, enumerated as an "individual" on July 05, 2016.

The provider is located at 3816 N MAIN ST JACKSONVILLE, FL 32206 and the phone number is (904) 630-6950.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.