Green, Marilyn B
Green, Marilyn B is an individual health care provider with primary practice located at 500 Congress St , Quincy MA 02169-0908. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Green, Marilyn B can be contacted via phone (617) 471-0033.Contact Information
Primary practice address
500 Congress St
Quincy MA 02169-0908
Phone: (617) 471-0033
Fax: (617) 770-4354
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 114466 | Massachusetts |
Profile Details
| NPI number | 1720089683 |
|---|---|
| LBN Legal business name | Green, Marilyn B |
| Credentials | NURSE PRACTIONER |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Nov 10th, 2009 - about 15 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 | 1720089683 | NPPES |
| Massachusetts | MEDICAID | 0349861 |
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