Green, Jesse Andrew
Green, Jesse Andrew is an individual health care provider with primary practice located at 51 North 39Th Street , Philadelphia PA 19104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Green, Jesse Andrew can be contacted via phone (215) 662-8900.Contact Information
Primary practice address
51 North 39Th Street
Philadelphia PA 19104
Phone: (215) 662-8900
Fax: (518) 262-6470
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD450077 | Pennsylvania |
Profile Details
| NPI number | 1952393027 |
|---|---|
| LBN Legal business name | Green, Jesse Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2005 |
| Last updated | May 7th, 2014 - about 10 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 | 1952393027 | NPPES |
| New York | MEDICAID | 01460562 |
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