Green, Charles Joseph

Green, Charles Joseph is an sole proprietor health care provider with primary practice located at 3400 Union Ave , Sheboygan WI 53081-8426. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery is his primary health care specialty. Green, Charles Joseph can be contacted via phone (920) 828-2530.

Contact Information

Primary practice address
3400 Union Ave Sheboygan WI 53081-8426
Phone: (920) 828-2530
Fax: (920) 828-2535
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 5101016991 Michigan
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 55576021 Wisconsin

Profile Details

NPI number 1528283926
LBN Legal business name Green, Charles Joseph
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2007
Last updated Oct 11th, 2023 - about last year

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 1528283926 NPPES
Wisconsin MEDICAID 100024101

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