Green, Edward Rodman

Green, Edward Rodman is an individual health care provider with primary practice located at 106 Central Avenue , Huntsville AL 35801-3814. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Green, Edward Rodman can be contacted via phone (256) 533-6080.

Contact Information

Primary practice address
106 Central Avenue Huntsville AL 35801-3814
Phone: (256) 533-6080
Fax: (256) 536-2964
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 8219 Alabama

Profile Details

NPI number 1578514469
LBN Legal business name Green, Edward Rodman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Jul 8th, 2007 - about 18 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 1578514469 NPPES
Alabama Other 02445 BLUE CROSS BLUE SHIELD

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