Green, Kristina E

Green, Kristina E is an individual health care provider with primary practice located at 44000 W 12 Mile Rd Suite 111, Novi MI 48377-2644. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Green, Kristina E can be contacted via phone (248) 347-8233.

Contact Information

Primary practice address
44000 W 12 Mile Rd Suite 111 Novi MI 48377-2644
Phone: (248) 347-8233
Fax: (248) 347-8174
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 36003381 Ohio
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 5901002628 Michigan

Profile Details

NPI number 1558360875
LBN Legal business name Green, Kristina E
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Feb 28th, 2017 - about 8 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 1558360875 NPPES
Ohio MEDICAID 2501804
Ohio Other 0697670001

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