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
Phone: (276) 439-1490
Fax: (276) 439-1495
Website:
Health care specialties
| Specialty | Code | License # | 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 3 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 | 1912973595 | NPPES |
| Virginia | MEDICAID | 1861674160 | |
| Virginia | Other | P01487168 | |
| Virginia | MEDICAID | 7100409190 | |
| Virginia | MEDICAID | 1912973595 |
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