Green, Adam Stanley
Green, Adam Stanley is an individual health care provider with primary practice located at 1055 N 500 W #112 Bldg C, Provo UT 84604-3305. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Green, Adam Stanley can be contacted via phone (801) 812-4624.Contact Information
Primary practice address
1055 N 500 W #112 Bldg C
Provo UT 84604-3305
Phone: (801) 812-4624
Fax: (801) 812-4699
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 24032 | Oklahoma |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 6895740-1205 | Utah |
Profile Details
NPI number | 1801946975 |
---|---|
LBN Legal business name | Green, Adam Stanley |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 11th, 2007 |
Last updated | Nov 27th, 2023 - about last year |
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.
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