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
Phone: (203) 789-4044
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649244419 | NPPES |
| Connecticut | MEDICAID | 001395492 |
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