Edreira-Green, Gloria C

Edreira-Green, Gloria C is an individual health care provider with primary practice located at 943 Hualapai Way , Peach Springs AZ 86434. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Edreira-Green, Gloria C can be contacted via phone (928) 769-2900.

Contact Information

Primary practice address
943 Hualapai Way Peach Springs AZ 86434
Phone: (928) 769-2900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 25MA06551000 New Jersey
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA06551000 New Jersey

Profile Details

NPI number 1720014608
LBN Legal business name Edreira-Green, Gloria C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Apr 1st, 2014 - 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 1720014608 NPPES
New Jersey MEDICAID 8887501

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