Green, Daniel R

Green, Daniel R is an individual health care provider with primary practice located at Upstate Cardiology 2 Innovation Drive, Ste 400, Greenville SC 29607-5270. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Green, Daniel R can be contacted via phone (864) 235-7665.

Contact Information

Primary practice address
Upstate Cardiology 2 Innovation Drive, Ste 400 Greenville SC 29607-5270
Phone: (864) 235-7665
Fax: (864) 233-5971
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 51716 South Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01076895A Indiana
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1790929230
LBN Legal business name Green, Daniel R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2009
Last updated Sep 7th, 2018 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790929230 NPPES
South Carolina MEDICAID 517168

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