Green, Julianne Vernadette
Green, Julianne Vernadette is an individual health care provider with primary practice located at Medical Center Blvd , Winston Salem NC 27157-3904. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases. Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases is her primary health care specialty. Green, Julianne Vernadette can be contacted via phone (336) 713-4500.Contact Information
Primary practice address
Medical Center Blvd
Winston Salem NC 27157-3904
Phone: (336) 713-4500
Fax: (336) 713-4501
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 48755 | Kentucky |
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases | 2080P0208X | 48755 | Kentucky |
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases | 2080P0208X | 2015-02039 | North Carolina |
Profile Details
NPI number | 1073723086 |
---|---|
LBN Legal business name | Green, Julianne Vernadette |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 22nd, 2007 |
Last updated | Sep 14th, 2023 - about last year |
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 | 1073723086 | NPPES |
Indiana | MEDICAID | 201363510 | |
Indiana | MEDICAID | 7100400880 |
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