Green, Carmen R
Green, Carmen R is an individual health care provider with primary practice located at 325 East Eisenhower Parkway Suite 100, Ann Arbor MI 48108-5721. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Green, Carmen R can be contacted via phone (734) 763-5459.Contact Information
Primary practice address
325 East Eisenhower Parkway Suite 100
Ann Arbor MI 48108-5721
Phone: (734) 763-5459
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 4301052368 | Michigan |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 4301052368 | Michigan |
Profile Details
| NPI number | 1497773824 |
|---|---|
| LBN Legal business name | Green, Carmen R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Oct 21st, 2019 - about 6 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 | 1497773824 | NPPES |
| Michigan | MEDICAID | 2905220 |
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