Green, Michael D
Green, Michael D is an individual health care provider with primary practice located at 601 W Maple Ave Suite 703, Springdale AR 72764-5335. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Green, Michael D can be contacted via phone (479) 750-2203.Contact Information
Primary practice address
601 W Maple Ave Suite 703
Springdale AR 72764-5335
Phone: (479) 750-2203
Fax: (479) 750-1193
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | C7697 | Arkansas |
Profile Details
NPI number | 1437193612 |
---|---|
LBN Legal business name | Green, Michael D |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 16th, 2006 |
Last updated | Mar 7th, 2023 - about last year |
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 | 1437193612 | NPPES |
Oklahoma | MEDICAID | 100078010A | |
Oklahoma | MEDICAID | 208228700 | |
Oklahoma | Other | 168460000 | |
Oklahoma | MEDICAID | 117593001 | |
Oklahoma | Other | C7697 |
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