Green, Richard
Green, Richard is an individual health care provider with primary practice located at 1555 Shaw Ave Ste 101 , Clovis CA 93611-4096. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Green, Richard can be contacted via phone (559) 324-7001.Contact Information
Primary practice address
1555 Shaw Ave Ste 101
Clovis CA 93611-4096
Phone: (559) 324-7001
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 53321 | California |
Profile Details
NPI number | 1649624040 |
---|---|
LBN Legal business name | Green, Richard |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 21st, 2016 |
Last updated | Apr 11th, 2023 - 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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