Green, Jared

Green, Jared is an individual health care provider with primary practice located at 301 S 7Th Ave Suite 2020, West Reading PA 19611-1410. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Green, Jared can be contacted via phone (610) 375-6565.

Contact Information

Primary practice address
301 S 7Th Ave Suite 2020 West Reading PA 19611-1410
Phone: (610) 375-6565
Fax: (610) 375-2065
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OS 013715 Pennsylvania
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X OS-013715 Pennsylvania

Profile Details

NPI number 1104912708
LBN Legal business name Green, Jared
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Aug 19th, 2016 - about 8 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 1104912708 NPPES
Pennsylvania MEDICAID 101945813

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