Green, Gerald

Green, Gerald is an individual health care provider with primary practice located at 320 Middletown Blvd , Langhorne PA 19047-3204. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Green, Gerald can be contacted via phone (215) 752-0382.

Contact Information

Primary practice address
320 Middletown Blvd Langhorne PA 19047-3204
Phone: (215) 752-0382
Fax: (221) 575-2480
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X OS003032L Pennsylvania

Profile Details

NPI number 1548234867
LBN Legal business name Green, Gerald
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 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 1548234867 NPPES
Pennsylvania MEDICAID 0006143680004

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