Green, Michael R

Green, Michael R is an individual health care provider with primary practice located at 98 15Th St Nw Ste 207A , Norton VA 24273-1600. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Green, Michael R can be contacted via phone (276) 439-1490.

Contact Information

Primary practice address
98 15Th St Nw Ste 207A Norton VA 24273-1600
Fax: (276) 439-1495
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101256059 Virginia
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 0101256059 Virginia
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 0101256059 Virginia

Profile Details

NPI number 1912973595
LBN Legal business name Green, Michael R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Jul 21st, 2022 - 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 1912973595 NPPES
Virginia MEDICAID 1861674160
Virginia Other P01487168
Virginia MEDICAID 7100409190
Virginia MEDICAID 1912973595

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