Green, Eric Brent

Green, Eric Brent is an individual health care provider with primary practice located at 210 25Th Ave N Suite 602, Nashville TN 37203-1606. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Green, Eric Brent can be contacted via phone (615) 327-4737.

Contact Information

Primary practice address
210 25Th Ave N Suite 602 Nashville TN 37203-1606
Fax: (615) 327-4737
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0101239681 Virginia

Profile Details

NPI number 1184646929
LBN Legal business name Green, Eric Brent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Apr 22nd, 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 1184646929 NPPES
Tennessee MEDICAID 3834389

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