Green, Stephen Lloyd
Green, Stephen Lloyd is an sole proprietor health care provider with primary practice located at 2131 S Bonito Way , Meridian ID 83642-1659. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Green, Stephen Lloyd can be contacted via phone (208) 489-9500.Contact Information
Primary practice address
2131 S Bonito Way
Meridian ID 83642-1659
Phone: (208) 489-9500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 0101028335 | Virginia |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | M-10266 | Idaho |
Profile Details
| NPI number | 1477679496 |
|---|---|
| LBN Legal business name | Green, Stephen Lloyd |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 21st, 2007 |
| Last updated | Feb 22nd, 2013 - about 12 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 | 1477679496 | NPPES |
| Virginia | Other | 1013986579 | NPI CORPORATION |
| Virginia | MEDICAID | 006069479 | NPI CORPORATION |
| Virginia | Other | 1477679496 | NPI CORPORATION |
| Virginia | Other | M-10266 | NPI CORPORATION |
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