Green, Marc A.
Green, Marc A. is an individual health care provider with primary practice located at 1310 W 22Nd St , Sioux Falls SD 57105-1501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Green, Marc A. can be contacted via phone (605) 328-8600.Contact Information
Primary practice address
1310 W 22Nd St
Sioux Falls SD 57105-1501
Phone: (605) 328-8600
Fax: (605) 328-8601
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 1320 | South Dakota |
Profile Details
| NPI number | 1508861915 |
|---|---|
| LBN Legal business name | Green, Marc A. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2005 |
| Last updated | May 8th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508861915 | NPPES |
| South Dakota | MEDICAID | 5900142 |
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