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:
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Health care specialties

SpecialtyCodeLicense #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 2 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 1437193612 NPPES
Oklahoma MEDICAID 100078010A
Oklahoma MEDICAID 208228700
Oklahoma Other 168460000
Oklahoma MEDICAID 117593001
Oklahoma Other C7697

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