Green, Brandon Michael
Green, Brandon Michael is an sole proprietor health care provider with primary practice located at 295 Columbia Rd , Boston MA 02121-3409. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Green, Brandon Michael can be contacted via phone (617) 436-6110.Contact Information
Primary practice address
295 Columbia Rd
Boston MA 02121-3409
Phone: (617) 436-6110
Fax: (617) 436-2424
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 244801 | Massachusetts |
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 2200 | Maine |
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 7249 | Oklahoma |
Profile Details
NPI number | 1669609160 |
---|---|
LBN Legal business name | Green, Brandon Michael |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 11th, 2009 |
Last updated | Jun 30th, 2021 - about 4 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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