Greene, Liza M

Greene, Liza M is an individual health care provider with primary practice located at 1091 S Beacon Blvd , Grand Haven MI 49417-2607. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Greene, Liza M can be contacted via phone (616) 604-0096.

Contact Information

Primary practice address
1091 S Beacon Blvd Grand Haven MI 49417-2607
Phone: (616) 604-0096
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601007430 Michigan

Profile Details

NPI number 1376684100
LBN Legal business name Greene, Liza M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2007
Last updated Aug 7th, 2015 - 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 1376684100 NPPES
North Carolina Other 0010-00802 STATE LICENSE
North Carolina Other 5601007430 STATE LICENSE

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