Green, Adam W.

Green, Adam W. is an individual health care provider with primary practice located at 3101 Se 14Th St , Bentonville AR 72712-4900. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Green, Adam W. can be contacted via phone (479) 986-6199.

Contact Information

Primary practice address
3101 Se 14Th St Bentonville AR 72712-4900
Phone: (479) 986-6199
Fax: (479) 636-0371
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X E-8330 Arkansas
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X E-8330 Arkansas

Profile Details

NPI number 1861620213
LBN Legal business name Green, Adam W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2009
Last updated Dec 4th, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861620213 NPPES
Arkansas Other P01507946 RR MEDICARE
Arkansas MEDICAID 204518001 RR MEDICARE
Arkansas MEDICAID 1861620213 RR MEDICARE

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