Green, Gary A
Green, Gary A is an sole proprietor health care provider with primary practice located at 670 Shepard Ln Suite 102, Farmington UT 84025-3936. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Green, Gary A can be contacted via phone (801) 451-7500.Contact Information
Primary practice address
670 Shepard Ln Suite 102
Farmington UT 84025-3936
Phone: (801) 451-7500
Fax: (801) 451-6966
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 104878-0501 | Utah |
Profile Details
| NPI number | 1801896816 |
|---|---|
| LBN Legal business name | Green, Gary A |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2005 |
| Last updated | Sep 20th, 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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