Greene, Julie R

Greene, Julie R is an individual health care provider with primary practice located at 129 N Washington St , Sumter SC 29150-4949. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Greene, Julie R can be contacted via phone (803) 774-9000.

Contact Information

Primary practice address
129 N Washington St Sumter SC 29150-4949
Phone: (803) 774-9000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 531034 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 22802 South Carolina

Profile Details

NPI number 1952664377
LBN Legal business name Greene, Julie R
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2012
Last updated Jan 28th, 2022 - about 3 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 1952664377 NPPES
South Carolina MEDICAID AN3119

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