Green, Edwin Jay

Green, Edwin Jay is an sole proprietor health care provider with primary practice located at 1317 N Elm St Ste 2, Greensboro NC 27401-1033. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Green, Edwin Jay can be contacted via phone (336) 373-1676.

Contact Information

Primary practice address
1317 N Elm St Ste 2 Greensboro NC 27401-1033
Phone: (336) 373-1676
Fax: (336) 665-6188
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 20140 North Carolina

Profile Details

NPI number 1235199183
LBN Legal business name Green, Edwin Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 24th, 2006
Last updated Feb 1st, 2010 - about 16 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 1235199183 NPPES
North Carolina MEDICAID 8936887

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