Green, Andrew
Green, Andrew is an sole proprietor health care provider with primary practice located at 2 Dudley St Ste 200, Providence RI 02905-3236. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Green, Andrew can be contacted via phone (401) 457-1515.Contact Information
Primary practice address
2 Dudley St Ste 200
Providence RI 02905-3236
Phone: (401) 457-1515
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 08413 | Rhode Island |
Profile Details
| NPI number | 1932149887 |
|---|---|
| LBN Legal business name | Green, Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 8th, 2006 |
| Last updated | Jul 9th, 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 | 1932149887 | NPPES |
| Rhode Island | MEDICAID | 9020164 |
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