Green, Carmen R

Green, Carmen R is an individual health care provider with primary practice located at 325 East Eisenhower Parkway Suite 100, Ann Arbor MI 48108-5721. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Green, Carmen R can be contacted via phone (734) 763-5459.

Contact Information

Primary practice address
325 East Eisenhower Parkway Suite 100 Ann Arbor MI 48108-5721
Phone: (734) 763-5459
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 4301052368 Michigan
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 4301052368 Michigan

Profile Details

NPI number 1497773824
LBN Legal business name Green, Carmen R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Oct 21st, 2019 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1497773824 NPPES
Michigan MEDICAID 2905220

Popular Providers