Green, Daniel P

Green, Daniel P is an sole proprietor health care provider with primary practice located at 305 E Tickle St , Dyersburg TN 38024-3117. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Green, Daniel P can be contacted via phone (731) 285-2324.

Contact Information

Primary practice address
305 E Tickle St Dyersburg TN 38024-3117
Phone: (731) 285-2324
Fax: (731) 285-1440
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 5993 Tennessee

Profile Details

NPI number 1003985581
LBN Legal business name Green, Daniel P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2006
Last updated Jul 31st, 2008 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1003985581 NPPES
Tennessee MEDICAID 3155396

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