Green, Joseph A.

Green, Joseph A. is an individual health care provider with primary practice located at 1513 Scalp Ave Suite 280, Johnstown PA 15904-3331. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Green, Joseph A. can be contacted via phone (814) 266-7611.

Contact Information

Primary practice address
1513 Scalp Ave Suite 280 Johnstown PA 15904-3331
Phone: (814) 266-7611
Fax: (814) 266-3532
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OEG 000189 Pennsylvania
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X OEG 000189 Pennsylvania

Profile Details

NPI number 1942273891
LBN Legal business name Green, Joseph A.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Nov 30th, 2007 - about 17 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 1942273891 NPPES
Pennsylvania MEDICAID 0014035280001

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