Green, Philip David

Green, Philip David is an individual health care provider with primary practice located at 1040 Medical Park Ave , New Bern NC 28562-5248. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Green, Philip David can be contacted via phone (252) 633-1678.

Contact Information

Primary practice address
1040 Medical Park Ave New Bern NC 28562-5248
Phone: (252) 633-1678
Fax: (252) 633-1403
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 23705 North Carolina
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 23705 North Carolina

Profile Details

NPI number 1003800335
LBN Legal business name Green, Philip David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2005
Last updated Sep 1st, 2011 - about 14 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 1003800335 NPPES
North Carolina MEDICAID 891036C
North Carolina Other 1036C

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