Bert Green, M.D., P.S.

LBN: Bert Green, M.D., P.S.
Bert Green, M.D., P.S. is an health care organization with primary practice located at 16259 Sylvester Rd Sw Suite 404, Burien WA 98166-3049. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Bert Green, M.D., P.S. can be contacted via phone (206) 241-1818, or through Green, Bert via phone (206) 241-1818.

Contact Information

Primary practice address
16259 Sylvester Rd Sw Suite 404 Burien WA 98166-3049
Fax:
Website:
Authorized official contact:
Name: Green, Bert Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1982625836
LBN Legal business name Bert Green, M.D., P.S.
DBA Doing business as
Authorized official Green, Bert Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 23rd, 2006
Last updated May 12th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982625836 NPPES
Washington MEDICAID 1890003
Washington Other 060036294

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