Green, Stephen Mark
Green, Stephen Mark is an sole proprietor health care provider with primary practice located at 1901 Medi Park Dr Ste 2 , Amarillo TX 79106-2105. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Green, Stephen Mark can be contacted via phone (806) 350-7918.Contact Information
Primary practice address
1901 Medi Park Dr Ste 2
Amarillo TX 79106-2105
Phone: (806) 350-7918
Fax:
Website:
Health care specialties
Profile Details
| NPI number | 1881679595 |
|---|---|
| LBN Legal business name | Green, Stephen Mark |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 14th, 2005 |
| Last updated | May 26th, 2023 - about last year |
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 | 1881679595 | NPPES |
| Texas | Other | 430078925 | MEDICARE RAILROAD |
| Texas | Other | 47-0891118 | MEDICARE RAILROAD |
| Texas | Other | 83485U | MEDICARE RAILROAD |
| Texas | MEDICAID | 161131101 | MEDICARE RAILROAD |
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