Green, Derrick Richard
Green, Derrick Richard is an individual health care provider with primary practice located at 3200 Maccorkle Ave Se Dept Of Pathology, Charleston WV 25304-1297. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Green, Derrick Richard can be contacted via phone (304) 388-5550.Contact Information
Primary practice address
3200 Maccorkle Ave Se Dept Of Pathology
Charleston WV 25304-1297
Phone: (304) 388-5550
Fax: (304) 388-4352
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 26706 | West Virginia |
Profile Details
| NPI number | 1952644460 |
|---|---|
| LBN Legal business name | Green, Derrick Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2013 |
| Last updated | Sep 21st, 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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