Green, Katie E

Green, Katie E is an individual health care provider with primary practice located at 457 Jack Martin Blvd. , Brick NJ 08724. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Green, Katie E can be contacted via phone (732) 840-7500.

Contact Information

Primary practice address
457 Jack Martin Blvd. Brick NJ 08724
Phone: (732) 840-7500
Fax: (732) 840-2088
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 014932-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 25MP00367400 New Jersey

Profile Details

NPI number 1679853634
LBN Legal business name Green, Katie E
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2011
Last updated Apr 10th, 2018 - about 7 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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