Green, Charles Patrick

Green, Charles Patrick is an individual health care provider with primary practice located at 2121 E Harmony Rd Unit 100, Fort Collins CO 80528-3401. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Green, Charles Patrick can be contacted via phone (970) 221-1000.

Contact Information

Primary practice address
2121 E Harmony Rd Unit 100 Fort Collins CO 80528-3401
Phone: (970) 221-1000
Fax: (970) 297-6860
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 37999 Colorado
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 21397 Nebraska
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 6263A Wyoming
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X 37999 Colorado

Profile Details

NPI number 1982600458
LBN Legal business name Green, Charles Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Mar 22nd, 2016 - about 8 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 1982600458 NPPES
Wyoming MEDICAID 114732300
Wyoming Other P00977662
Wyoming MEDICAID 36377066

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