Green, Eric William

Green, Eric William is an individual health care provider with primary practice located at 1901 Connecticut Ave S , Sartell MN 56377. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Green, Eric William can be contacted via phone (320) 259-4100.

Contact Information

Primary practice address
1901 Connecticut Ave S Sartell MN 56377
Phone: (320) 259-4100
Fax: (320) 259-8044
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 34822 Minnesota

Profile Details

NPI number 1922037597
LBN Legal business name Green, Eric William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Jun 8th, 2020 - about 4 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 1922037597 NPPES
Minnesota MEDICAID 975508000

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