Green, Nathan Ray

Green, Nathan Ray is an individual health care provider with primary practice located at 1818 S 300 W , Salt Lake City UT 84115-1805. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Green, Nathan Ray can be contacted via phone (801) 485-9757.

Contact Information

Primary practice address
1818 S 300 W Salt Lake City UT 84115-1805
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 5340358-9934 Utah

Profile Details

NPI number 1821076555
LBN Legal business name Green, Nathan Ray
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Jul 8th, 2007 - about 17 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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