Green, Archibald H
Green, Archibald H is an individual health care provider with primary practice located at 4 Glen Cove Dr Ste 202, Rockport ME 04856. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Green, Archibald H can be contacted via phone (207) 593-5800.Contact Information
Primary practice address
4 Glen Cove Dr Ste 202
Rockport ME 04856
Phone: (207) 593-5800
Fax: (207) 593-5322
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 1327 | Maine |
Profile Details
| NPI number | 1922077692 |
|---|---|
| LBN Legal business name | Green, Archibald H |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Dec 28th, 2011 - about 13 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 | 1922077692 | NPPES |
| Maine | MEDICAID | 258360099 |
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