Edreira-Green, Gloria C
Edreira-Green, Gloria C is an individual health care provider with primary practice located at 943 Hualapai Way , Peach Springs AZ 86434. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Edreira-Green, Gloria C can be contacted via phone (928) 769-2900.Contact Information
Primary practice address
943 Hualapai Way
Peach Springs AZ 86434
Phone: (928) 769-2900
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 25MA06551000 | New Jersey |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA06551000 | New Jersey |
Profile Details
NPI number | 1720014608 |
---|---|
LBN Legal business name | Edreira-Green, Gloria C |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 23rd, 2006 |
Last updated | Apr 1st, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1720014608 | NPPES |
New Jersey | MEDICAID | 8887501 |
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