Green, Mark E

Green, Mark E is an individual health care provider with primary practice located at 1771 Madison St , Clarksville TN 37043-4990. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Green, Mark E can be contacted via phone (931) 552-6622.

Contact Information

Primary practice address
1771 Madison St Clarksville TN 37043-4990
Phone: (931) 552-6622
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 17438 Tennessee

Profile Details

NPI number 1831138916
LBN Legal business name Green, Mark E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Jul 8th, 2007 - about 17 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 1831138916 NPPES
Tennessee MEDICAID 3886218

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