Green, John A

Green, John A is an individual health care provider with primary practice located at 1 Medical Park Blvd Suite 450W, Bristol TN 37620-7430. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Green, John A can be contacted via phone (423) 968-3713.

Contact Information

Primary practice address
1 Medical Park Blvd Suite 450W Bristol TN 37620-7430
Phone: (423) 968-3713
Fax: (423) 968-7352
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 011243 Tennessee

Profile Details

NPI number 1740288380
LBN Legal business name Green, John A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Jun 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740288380 NPPES
Tennessee Other 3037795 BLUE CROSS
Tennessee Other 014531 BLUE CROSS
Tennessee MEDICAID 6093752 BLUE CROSS

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