Green, Daniel Michael

Green, Daniel Michael is an individual health care provider with primary practice located at 262 Danny Thomas Pl Mail Stop 735, Memphis TN 38105-3678. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as his primary health care specialty. Green, Daniel Michael can be contacted via phone (901) 595-5915.

Contact Information

Primary practice address
262 Danny Thomas Pl Mail Stop 735 Memphis TN 38105-3678
Phone: (901) 595-5915
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X MD0000042775 Tennessee

Profile Details

NPI number 1932105806
LBN Legal business name Green, Daniel Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Sep 8th, 2011 - about 14 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 1932105806 NPPES
Tennessee MEDICAID 5442221

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