Green, Charles R

Green, Charles R is an individual health care provider with primary practice located at 1937 M 119 , Petoskey MI 49770-8913. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Green, Charles R can be contacted via phone (231) 348-9200.

Contact Information

Primary practice address
1937 M 119 Petoskey MI 49770-8913
Phone: (231) 348-9200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601003793 Michigan

Profile Details

NPI number 1962574285
LBN Legal business name Green, Charles R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2006
Last updated Jan 5th, 2009 - about 17 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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