Green, Michael L

Green, Michael L is an individual health care provider with primary practice located at 1450 Chapel Street Family Health Center, New Haven CT 06511. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Green, Michael L can be contacted via phone (203) 789-4044.

Contact Information

Primary practice address
1450 Chapel Street Family Health Center New Haven CT 06511
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 034549 Connecticut

Profile Details

NPI number 1649244419
LBN Legal business name Green, Michael L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2006
Last updated Sep 4th, 2014 - about 10 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 1649244419 NPPES
Connecticut MEDICAID 001395492

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