Green, Alexander

Green, Alexander is an sole proprietor health care provider with primary practice located at 170 W Tennessee Ave , Oak Ridge TN 37830-6509. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Green, Alexander can be contacted via phone (865) 482-1788.

Contact Information

Primary practice address
170 W Tennessee Ave Oak Ridge TN 37830-6509
Phone: (865) 482-1788
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X DPM897 Tennessee

Profile Details

NPI number 1336638238
LBN Legal business name Green, Alexander
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2018
Last updated Mar 7th, 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 1336638238 NPPES
Tennessee Other 6277909 BCBST
Tennessee Other DPM897 BCBST
Tennessee MEDICAID Q068463 BCBST

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