Green, Damon Anderson
Green, Damon Anderson is an individual health care provider with primary practice located at 275 W Macarthur Blvd , Oakland CA 94611-5641. He recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Green, Damon Anderson can be contacted via phone (510) 752-1000.Contact Information
Primary practice address
275 W Macarthur Blvd
Oakland CA 94611-5641
Phone: (510) 752-1000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 95010752 | California |
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 95010752 | California |
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 95010752 | California |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 95010752 | California |
Profile Details
NPI number | 1093279259 |
---|---|
LBN Legal business name | Green, Damon Anderson |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 22nd, 2019 |
Last updated | Jan 11th, 2022 - about 3 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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