Green, Edwin Jay
Green, Edwin Jay is an sole proprietor health care provider with primary practice located at 1317 N Elm St Ste 2, Greensboro NC 27401-1033. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Green, Edwin Jay can be contacted via phone (336) 373-1676.Contact Information
Primary practice address
1317 N Elm St Ste 2
Greensboro NC 27401-1033
Phone: (336) 373-1676
Fax: (336) 665-6188
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 20140 | North Carolina |
Profile Details
| NPI number | 1235199183 |
|---|---|
| LBN Legal business name | Green, Edwin Jay |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Feb 1st, 2010 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235199183 | NPPES |
| North Carolina | MEDICAID | 8936887 |
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