Green, Gary Lee
Green, Gary Lee is an sole proprietor health care provider with primary practice located at 400 Enterprise Dr , Scarborough ME 04074-7662. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Green, Gary Lee can be contacted via phone (207) 289-1025.Contact Information
Primary practice address
400 Enterprise Dr
Scarborough ME 04074-7662
Phone: (207) 289-1025
Fax: (207) 289-1028
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 013090 | Maine |
Profile Details
| NPI number | 1770561615 |
|---|---|
| LBN Legal business name | Green, Gary Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 1st, 2006 |
| Last updated | Jun 27th, 2011 - 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.
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