Mr Charles Henry Greene Iii, MS, PT, ATC in Albany, MO - Specialist/Technologist

Mr Charles Henry Greene Iii, MS, PT, ATC is a Specialist/technologist - Athletic Trainer based in Albany, Missouri. Mr Charles Henry Greene Iii is licensed to practice in Missouri (license number 1068862) and his current practice location is 203 S Polk St, Albany, Missouri. He can be reached at his office (for appointments etc.) via phone at (660) 726-5762.

NPI number for Mr Charles Henry Greene Iii is 1073554986 and his current mailing address is 203 S Polk St, Albany, Missouri. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1073554986.

Contact Information

	Mr Charles Henry Greene Iii, MS, PT, ATC
	203 S Polk St, Albany, MO 64402-1618
	(660) 726-5762
	(660) 726-5764

Healthcare Provider's Profile

Full Name	Mr Charles Henry Greene Iii
Gender	Male
Speciality	Specialist/technologist - Athletic Trainer
Location	203 S Polk St, Albany, Missouri
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1073554986
Provider Enumeration Date: 06/10/2006
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Charles Henry Greene Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073554986	NPI	-	NPPES
25783024	Other	MO	BLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	104902 (Missouri)	Primary
225100000X	Physical Therapist	1101879 (Kansas)	Primary
2251S0007X	Physical Therapist - Sports	104902 (Missouri)	Primary
2255A2300X	Specialist/technologist - Athletic Trainer	1068862 (Missouri)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Charles Henry Greene Iii is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Charles Henry Greene Iii, MS, PT, ATC 203 S Polk St, Albany, MO 64402-1618 Ph: (660) 726-5762	Mr Charles Henry Greene Iii, MS, PT, ATC 203 S Polk St, Albany, MO 64402-1618 Ph: (660) 726-5762

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Mr Charles Henry Greene Iii, MS, PT, ATC - in Albany, MO