Greene, John Wesley

Greene, John Wesley is an individual health care provider with primary practice located at 1036 S Verity Pkwy , Middletown OH 45044-5513. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Greene, John Wesley can be contacted via phone (513) 425-8305.

Contact Information

Primary practice address
1036 S Verity Pkwy Middletown OH 45044-5513
Fax: (513) 425-1810
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X COA 15565-NP Ohio

Profile Details

NPI number 1275956617
LBN Legal business name Greene, John Wesley
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2014
Last updated Aug 18th, 2021 - about 4 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 1275956617 NPPES
Ohio MEDICAID 0101440

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