Greene, Mary K

Greene, Mary K is an individual health care provider with primary practice located at 1 Childrens Plz , Dayton OH 45404-1873. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Pediatric Radiology is her primary health care specialty. Greene, Mary K can be contacted via phone (937) 689-9117.

Contact Information

Primary practice address
1 Childrens Plz Dayton OH 45404-1873
Fax: (937) 431-8562
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Radiology 2085P0229X 35064945 Ohio
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 51547 Connecticut

Profile Details

NPI number 1417939877
LBN Legal business name Greene, Mary K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Sep 27th, 2013 - about 11 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 1417939877 NPPES
Ohio MEDICAID 2417352

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