Green, Daniel Robert

Green, Daniel Robert is an individual health care provider with primary practice located at 1235 N Mulford Rd Ste 222 , Rockford IL 61107-3879. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Green, Daniel Robert can be contacted via phone (815) 397-8400.

Contact Information

Primary practice address
1235 N Mulford Rd Ste 222 Rockford IL 61107-3879
Phone: (815) 397-8400
Fax: (815) 229-0050
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 155120-30 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209014609 Illinois
Nursing Service Providers / Registered Nurse 163W00000X 041357363 Illinois

Profile Details

NPI number 1407309982
LBN Legal business name Green, Daniel Robert
Credentials DNP, NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2016
Last updated Jul 17th, 2018 - about 8 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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