Green, Jonathan

Green, Jonathan is an individual health care provider with primary practice located at 10444 Sr 66 N , Newburgh IN 47630-7954. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Green, Jonathan can be contacted via phone (812) 853-9651.

Contact Information

Primary practice address
10444 Sr 66 N Newburgh IN 47630-7954
Phone: (812) 853-9651
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10000335A Indiana

Profile Details

NPI number 1225028210
LBN Legal business name Green, Jonathan
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Jul 9th, 2007 - about 18 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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