Greene, Adam Jonathan

Greene, Adam Jonathan is an individual health care provider with primary practice located at 130 Stonecrest Rd Ste 106 , Shelbyville KY 40065-8126. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Greene, Adam Jonathan can be contacted via phone (502) 647-7708.

Contact Information

Primary practice address
130 Stonecrest Rd Ste 106 Shelbyville KY 40065-8126
Phone: (502) 647-7708
Fax: (502) 647-7747
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X TC308 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA3082 Kentucky

Profile Details

NPI number 1588386759
LBN Legal business name Greene, Adam Jonathan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2022
Last updated Mar 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588386759 NPPES
Indiana MEDICAID 300071350
Indiana MEDICAID 7100853770

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