Green, Bryan

Green, Bryan is an sole proprietor health care provider with primary practice located at 1000 Delbon Ave Ste 7 , Turlock CA 95382-2008. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Green, Bryan can be contacted via phone (209) 632-2213.

Contact Information

Primary practice address
1000 Delbon Ave Ste 7 Turlock CA 95382-2008
Phone: (209) 632-2213
Fax: (209) 632-2213
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X HA1741 California

Profile Details

NPI number 1528118494
LBN Legal business name Green, Bryan
Credentials HEARING AID DISPENSE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2007
Last updated Jul 9th, 2007 - about 18 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 1528118494 NPPES
California Other ZZZ06931Z BLUE SHIELD PROVIDER
California MEDICAID HA0017410 BLUE SHIELD PROVIDER

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