Green, David Edward

Green, David Edward is an individual health care provider with primary practice located at 5121 S Cottonwood St , Murray UT 84107-5701. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Green, David Edward can be contacted via phone (801) 408-6220.

Contact Information

Primary practice address
5121 S Cottonwood St Murray UT 84107-5701
Phone: (801) 408-6220
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 6070100-1205 Utah
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 6070100-1205 Utah

Profile Details

NPI number 1588795553
LBN Legal business name Green, David Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2007
Last updated Jul 21st, 2022 - about 2 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 1588795553 NPPES
Utah MEDICAID 942854057043

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