Green, Janelle P.
Green, Janelle P. is an individual health care provider with primary practice located at 5709 Market St Ste I , Oakland CA 94608-2811. She recently has 5 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Education, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is her primary health care specialty. Green, Janelle P. can be contacted via phone (415) 902-2134.Contact Information
Primary practice address
5709 Market St Ste I
Oakland CA 94608-2811
Phone: (415) 902-2134
Fax: (909) 706-3942
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutrition, Education | 133NN1002X | ||
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | E5039 | California |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | E5039 | California |
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | E5039 | California |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | E5039 | California |
Profile Details
| NPI number | 1871721043 |
|---|---|
| LBN Legal business name | Green, Janelle P. |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2009 |
| Last updated | May 31st, 2023 - about 2 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 | 1871721043 | NPPES |
| California | Other | CB229206 | MEDICARE PTAN SO CAL |
| California | Other | CA144219 | MEDICARE PTAN SO CAL |
| California | Other | E5039 | MEDICARE PTAN SO CAL |
| California | MEDICAID | 1581343 | MEDICARE PTAN SO CAL |
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