Green, Richard Michael

Green, Richard Michael is an individual health care provider with primary practice located at 770 Washington St Suite 202, San Diego CA 92103-2209. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Green, Richard Michael can be contacted via phone (619) 291-0777.

Contact Information

Primary practice address
770 Washington St Suite 202 San Diego CA 92103-2209
Phone: (619) 291-0777
Fax: (619) 291-3231
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E1311 California

Profile Details

NPI number 1972540730
LBN Legal business name Green, Richard Michael
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1972540730 NPPES
California Other OOOE13110 BLUE SHIELD

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