Green, Chad E
Green, Chad E is an individual health care provider with primary practice located at 6048 Route 30 , Greensburg PA 15601-1279. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Green, Chad E can be contacted via phone (724) 836-0802.Contact Information
Primary practice address
6048 Route 30
Greensburg PA 15601-1279
Phone: (724) 836-0802
Fax: (724) 836-1190
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OEG000086 | Pennsylvania |
Profile Details
| NPI number | 1700886942 |
|---|---|
| LBN Legal business name | Green, Chad E |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2005 |
| Last updated | May 21st, 2008 - about 16 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 | 1700886942 | NPPES |
| Pennsylvania | MEDICAID | 0017553980001 |
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