Green, Sarah A
Green, Sarah A is an individual health care provider with primary practice located at 20201 Crawford Avenue , Olympia Fields IL 60461. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Green, Sarah A can be contacted via phone (708) 747-4000.Contact Information
Primary practice address
20201 Crawford Avenue
Olympia Fields IL 60461
Phone: (708) 747-4000
Fax: (866) 520-0761
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 02002724A | Indiana |
Profile Details
NPI number | 1407849938 |
---|---|
LBN Legal business name | Green, Sarah A |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 30th, 2005 |
Last updated | Apr 1st, 2009 - about 15 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1407849938 | NPPES |
Indiana | MEDICAID | 200497830 | |
Indiana | Other | 90001358 |
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