JONATHAN MICHAEL GREEN CNIM
NPI 1467829192
Specialist/Technologist, Other - Electroneurodiagnostic in Colorado Springs, CO
Active since August 28, 2015
About Jonathan Michael Green Cnim NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JONATHAN MICHAEL GREEN CNIM (NPI 1467829192) is an individual electroneurodiagnostic provider in Colorado Springs, Colorado, licensed in Maryland (2612) and active in the NPI registry since August 2015.
NPPES Registry Identity
NPI1467829192
Entity TypeIndividualMale
Primary Taxonomy246ZE0600X
Provider Legal NameJONATHAN MICHAEL GREENCredential: CNIM
Location Address13 S TEJON ST FL 5Colorado Springs, CO 80903-1513
Mailing Address8540 Sw Ash Meadows Rd, 113Wilsonville, OR 97070-4014 · (301) 335-4422
Phone(866) 286-8576
Sole ProprietorYes
Enumeration DateAugust 28, 2015
✔ NPI 1467829192 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtySpecialist/Technologist, Other · ElectroneurodiagnosticTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZE0600X
License✔ Licensed in MD · 2612
13 S TEJON ST FL 5, Colorado Springs, CO 80903
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Specialist/Technologist, Other (Electroneurodiagnostic)
13 S TEJON ST FL 5
COLORADO SPRINGS, CO 80903
COLORADO SPRINGS, CO 80903
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467829192, enumerated as an "individual" on August 28, 2015.
The provider is located at 13 S TEJON ST FL 5 COLORADO SPRINGS, CO 80903 and the phone number is (866) 286-8576.
Specialist/Technologist, Other with taxonomy code 246ZE0600X and a focus in Electroneurodiagnostic.
