Green, Bert
Green, Bert is an individual health care provider with primary practice located at 16259 Sylvester Rd Sw Ste 404, Burien WA 98166-3049. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Green, Bert can be contacted via phone (206) 248-0800.Contact Information
Primary practice address
16259 Sylvester Rd Sw Ste 404
Burien WA 98166-3049
Phone: (206) 248-0800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD00016483 | Washington |
Profile Details
| NPI number | 1508855925 |
|---|---|
| LBN Legal business name | Green, Bert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2005 |
| Last updated | May 12th, 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 | 1508855925 | NPPES |
| Washington | Other | 060036294 | RR MEDICARE |
| Washington | MEDICAID | 1890003 | RR MEDICARE |
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