Green, William Douglas

Green, William Douglas is an individual health care provider with primary practice located at 221 S 6Th St , Terre Haute IN 47807-4214. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Green, William Douglas can be contacted via phone (812) 242-3105.

Contact Information

Primary practice address
221 S 6Th St Terre Haute IN 47807-4214
Phone: (812) 242-3105
Fax: (812) 242-3133
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01024869A Indiana

Profile Details

NPI number 1336255629
LBN Legal business name Green, William Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Aug 18th, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336255629 NPPES
Indiana MEDICAID 100250230
Indiana Other 000000089604
Indiana Other 370004815

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