Green, Benny J
Green, Benny J is an individual health care provider with primary practice located at 14309 Cantrell Rd , Little Rock AR 72223-4230. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Green, Benny J can be contacted via phone (501) 224-6727.Contact Information
Primary practice address
14309 Cantrell Rd
Little Rock AR 72223-4230
Phone: (501) 224-6727
Fax: (501) 224-0374
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | C6412 | Arkansas |
Profile Details
| NPI number | 1609873983 |
|---|---|
| LBN Legal business name | Green, Benny J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2005 |
| Last updated | Jan 11th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609873983 | NPPES |
| Arkansas | MEDICAID | 101838001 | |
| Arkansas | Other | 080017867 |
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