Green, Samuel E.
Green, Samuel E. is an individual health care provider with primary practice located at 3150 N Tenaya Way Ste 460 , Las Vegas NV 89128-0463. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Green, Samuel E. can be contacted via phone (702) 233-1000.Contact Information
Primary practice address
3150 N Tenaya Way Ste 460
Las Vegas NV 89128-0463
Phone: (702) 233-1000
Fax: (702) 233-1001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 7001 | Nevada |
Profile Details
| NPI number | 1821091992 |
|---|---|
| LBN Legal business name | Green, Samuel E. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | May 15th, 2024 - about 6 months 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 | 1821091992 | NPPES |
| Nevada | MEDICAID | 002019596 |
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