Green, Charles Joseph
Green, Charles Joseph is an sole proprietor health care provider with primary practice located at 3400 Union Ave , Sheboygan WI 53081-8426. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery is his primary health care specialty. Green, Charles Joseph can be contacted via phone (920) 828-2530.Contact Information
Primary practice address
3400 Union Ave
Sheboygan WI 53081-8426
Phone: (920) 828-2530
Fax: (920) 828-2535
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 5101016991 | Michigan |
| Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | 55576021 | Wisconsin |
Profile Details
| NPI number | 1528283926 |
|---|---|
| LBN Legal business name | Green, Charles Joseph |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 13th, 2007 |
| Last updated | Oct 11th, 2023 - about 2 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 | 1528283926 | NPPES |
| Wisconsin | MEDICAID | 100024101 |
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