Green, Bob E
Green, Bob E is an individual health care provider with primary practice located at 19550 E 39Th St S Suite 227, Independence MO 64057-2303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Green, Bob E can be contacted via phone (816) 795-9716.Contact Information
Primary practice address
19550 E 39Th St S Suite 227
Independence MO 64057-2303
Phone: (816) 795-9716
Fax: (816) 795-6358
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MO112759 | Missouri |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 04-25504 | Kansas |
Profile Details
| NPI number | 1316946544 |
|---|---|
| LBN Legal business name | Green, Bob E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Jun 14th, 2022 - about 4 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 | 1316946544 | NPPES |
| Kansas | MEDICAID | 100286810H | |
| Kansas | MEDICAID | 1316946544 | |
| Kansas | MEDICAID | 208692103 |
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