Green, John Charles

Green, John Charles is an individual health care provider with primary practice located at 6481 Carlisle Pike , Mechanicsburg PA 17050-2377. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Green, John Charles can be contacted via phone (717) 516-6396.

Contact Information

Primary practice address
6481 Carlisle Pike Mechanicsburg PA 17050-2377
Phone: (717) 516-6396
Fax: (717) 620-8093
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2083S0010X 34 00 5210 Ohio
Allopathic & Osteopathic Physicians / Surgery 208600000X OS 005621 L Pennsylvania

Profile Details

NPI number 1528015591
LBN Legal business name Green, John Charles
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Jan 8th, 2021 - about 5 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 1528015591 NPPES
Pennsylvania MEDICAID 001007392
Pennsylvania Other 1528015591
Pennsylvania Other 2055449
Pennsylvania MEDICAID 0125294000
Pennsylvania Other P00284946
Pennsylvania Other 310917085084
Pennsylvania Other 000000181658

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