OrganizationGreen Chiropractic Offices PcChiropractorChiropractic ProvidersPractice Address133 Sylvan St, Danvers, MA 01923(978) 777-0918PECOS EnrollmentBased on the most recent information from CMS, provider Green Chiropractic Offices Pc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 10:04 AM.Profile DetailsProvider ID1770777591Provider TypeOrganizationFull NameGreen Chiropractic Offices PcSubpartNoEnumeration Date9/5/2007Last Updated9/5/2007Contact InformationPractice LocationPractice Address133 Sylvan St, Danvers, MA 01923Phone(978) 777-0918Fax(978) 774-7521Mailing LocationMailing Address133 Sylvan St, Danvers, MA 01923Phone(978) 777-0918Fax(978) 774-7521Authorized OfficialNameGreen, Michael Edward (Chiropractic)Phone(978) 777-0918Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicense451MassachusettsCode111N00000XDescriptionChiropractorChiropractic ProvidersLicense482MaineProvider IdentifiersIDDescriptionIssuerIDY35285DescriptionMedicaidIssuerUnlistedMassachusettsIDY39068DescriptionOtherIssuerBCBSMassachusettsID1610201DescriptionOtherIssuerMASS HEALTHMassachusettsIDY35285DescriptionOtherIssuerBCBSMassachusettsID304584DescriptionOtherIssuerTUFTSMassachusetts