Green, Jared Ross

Green, Jared Ross is an sole proprietor health care provider with primary practice located at 1005 Joe Dimaggio Dr , Hollywood FL 33021-5402. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Green, Jared Ross can be contacted via phone (954) 265-5892.

Contact Information

Primary practice address
1005 Joe Dimaggio Dr Hollywood FL 33021-5402
Phone: (954) 265-5892
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X 036.130117 Illinois
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036.130117 Illinois

Profile Details

NPI number 1053585604
LBN Legal business name Green, Jared Ross
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 15th, 2008
Last updated Apr 7th, 2022 - 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.

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