Green, Stephen R.

Green, Stephen R. is an individual health care provider with primary practice located at 1401 East Van Buren Avenue , Mcalester OK 74501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Green, Stephen R. can be contacted via phone (918) 426-0240.

Contact Information

Primary practice address
1401 East Van Buren Avenue Mcalester OK 74501
Phone: (918) 426-0240
Fax: (918) 423-4051
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 26043 Alabama
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 26629 Oklahoma

Profile Details

NPI number 1780742528
LBN Legal business name Green, Stephen R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2006
Last updated Sep 22nd, 2014 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780742528 NPPES
Oklahoma MEDICAID 200215670A
Oklahoma MEDICAID 009962015

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