Green, Mark Raymond
Green, Mark Raymond is an sole proprietor health care provider with primary practice located at 2201 Lincoln Way West , South Bend IN 46628-2513. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Green, Mark Raymond can be contacted via phone (574) 232-4990.Contact Information
Primary practice address
2201 Lincoln Way West
South Bend IN 46628-2513
Phone: (574) 232-4990
Fax: (574) 232-2470
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 12008310 | Indiana |
Profile Details
| NPI number | 1841209962 |
|---|---|
| LBN Legal business name | Green, Mark Raymond |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 7th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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