Green, Jaime S
Green, Jaime S is an individual health care provider with primary practice located at 9200 W Wisconsin Ave , Milwaukee WI 53226-3522. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is her primary health care specialty. Green, Jaime S can be contacted via phone (414) 805-6444.Contact Information
Primary practice address
9200 W Wisconsin Ave
Milwaukee WI 53226-3522
Phone: (414) 805-6444
Fax: (414) 805-6702
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 54927 | Minnesota |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 54927 | Minnesota |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 70944 | Wisconsin |
Profile Details
| NPI number | 1790990976 |
|---|---|
| LBN Legal business name | Green, Jaime S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2007 |
| Last updated | Jul 17th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790990976 | NPPES |
| Wisconsin | MEDICAID | 1790990976 |
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