Green, Michael E

Green, Michael E is an sole proprietor health care provider with primary practice located at 854 Lone Oak Drive , Gallatin TN 37066. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Green, Michael E can be contacted via phone (615) 452-1602.

Contact Information

Primary practice address
854 Lone Oak Drive Gallatin TN 37066
Fax: (615) 451-0139
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD0000025545 Tennessee
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X C7923 Arkansas

Profile Details

NPI number 1053414581
LBN Legal business name Green, Michael E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2006
Last updated Mar 23rd, 2010 - about 16 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 1053414581 NPPES
Other 0191345 TENNCARE SELECT
Other 0840119 TENNCARE SELECT
Other 877710 TENNCARE SELECT
Other NASH86608 TENNCARE SELECT
Other TN5545 TENNCARE SELECT
MEDICAID 3083540 TENNCARE SELECT
Other 4480107 TENNCARE SELECT
Other 2680132003 TENNCARE SELECT
Other 282865 TENNCARE SELECT
Other 0191345 TENNCARE SELECT
MEDICAID 3373178 TENNCARE SELECT
Other 621571208003 TENNCARE SELECT
Other 905714 TENNCARE SELECT
Other 2680132004 TENNCARE SELECT

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