Green, Daniel P
Green, Daniel P is an sole proprietor health care provider with primary practice located at 305 E Tickle St , Dyersburg TN 38024-3117. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Green, Daniel P can be contacted via phone (731) 285-2324.Contact Information
Primary practice address
305 E Tickle St
Dyersburg TN 38024-3117
Phone: (731) 285-2324
Fax: (731) 285-1440
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 5993 | Tennessee |
Profile Details
NPI number | 1003985581 |
---|---|
LBN Legal business name | Green, Daniel P |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 7th, 2006 |
Last updated | Jul 31st, 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 | 1003985581 | NPPES |
Tennessee | MEDICAID | 3155396 |
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