Green, Howard I.

Green, Howard I. is an individual health care provider with primary practice located at 6109 W Ramsey St , Banning CA 92220-3051. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Green, Howard I. can be contacted via phone (951) 845-0313.

Contact Information

Primary practice address
6109 W Ramsey St Banning CA 92220-3051
Phone: (951) 845-0313
Fax: (909) 796-4158
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G41712 California

Profile Details

NPI number 1851330674
LBN Legal business name Green, Howard I.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Jul 8th, 2007 - 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 1851330674 NPPES
California MEDICAID 00G417120

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