Green, Michael E
Green, Michael E is an sole proprietor health care provider with primary practice located at 210 W 38Th St , Scottsbluff NE 69361-4625. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Green, Michael E can be contacted via phone (308) 632-2039.Contact Information
Primary practice address
210 W 38Th St
Scottsbluff NE 69361-4625
Phone: (308) 632-2039
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 808 | Nebraska |
Profile Details
| NPI number | 1275645673 |
|---|---|
| LBN Legal business name | Green, Michael E |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Aug 19th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275645673 | NPPES |
| Nebraska | MEDICAID | 47067174100 |
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