Green, Aileen L
Green, Aileen L is an individual health care provider with primary practice located at 350 S 40Th St , Muskogee OK 74401-4915. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nuclear Medicine, which is considered as her primary health care specialty. Green, Aileen L can be contacted via phone (918) 683-0753.Contact Information
Primary practice address
350 S 40Th St
Muskogee OK 74401-4915
Phone: (918) 683-0753
Fax: (866) 397-7556
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Medicine | 207U00000X | 31897 | Oklahoma |
Profile Details
| NPI number | 1083832075 |
|---|---|
| LBN Legal business name | Green, Aileen L |
| Credentials | MD, PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 23rd, 2007 |
| Last updated | Dec 10th, 2016 - about 9 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 | 1083832075 | NPPES |
| Oklahoma | MEDICAID | 200618060A |
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