Green, Donald Robert

Green, Donald Robert is an individual health care provider with primary practice located at 770 Washington St Suite 202, San Diego CA 92103-2209. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Green, Donald Robert can be contacted via phone (619) 291-0777.

Contact Information

Primary practice address
770 Washington St Suite 202 San Diego CA 92103-2209
Fax: (619) 291-3231
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E1503 California

Profile Details

NPI number 1801833843
LBN Legal business name Green, Donald Robert
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Jul 8th, 2007 - about 17 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 1801833843 NPPES
California Other OOOE15030 BLUE SHIELD

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