Provider Demographics
NPI:1528837937
Name:GREENFIELD, ANNE (DC)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:GREENFIELD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1728 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-9437
Mailing Address - Country:US
Mailing Address - Phone:740-785-5036
Mailing Address - Fax:740-277-6317
Practice Address - Street 1:1951 TAMARACK RD
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-1300
Practice Address - Country:US
Practice Address - Phone:740-522-1223
Practice Address - Fax:740-277-6317
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-27
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHDC-05324111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor