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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821091992 NPPES
Nevada MEDICAID 002019596

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