Green, Patricia
Green, Patricia is an individual health care provider with primary practice located at 4414 Benning Rd Ne , Washington DC 20019-4555. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Green, Patricia can be contacted via phone (202) 388-7758.Contact Information
Primary practice address
4414 Benning Rd Ne
Washington DC 20019-4555
Phone: (202) 388-7758
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25MA10341200 | New Jersey |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD048038 | District of Columbia |
Profile Details
| NPI number | 1578950390 |
|---|---|
| LBN Legal business name | Green, Patricia |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2015 |
| Last updated | Jun 23rd, 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 | 1578950390 | NPPES |
| New Jersey | MEDICAID | 0635235 |
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