Greene, Edward William

Greene, Edward William is an individual health care provider with primary practice located at 1400 E Palomar St , Chula Vista CA 91913-1800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Greene, Edward William can be contacted via phone (858) 499-2600.

Contact Information

Primary practice address
1400 E Palomar St Chula Vista CA 91913-1800
Fax: (619) 397-3380
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A82156 California

Profile Details

NPI number 1265401368
LBN Legal business name Greene, Edward William
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Oct 1st, 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 1265401368 NPPES
California MEDICAID 00A821560

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