Green, Jared A

Green, Jared A is an individual health care provider with primary practice located at 1870 N Main St Ste 201 , Cedar City UT 84721-7742. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Green, Jared A can be contacted via phone (435) 383-9009.

Contact Information

Primary practice address
1870 N Main St Ste 201 Cedar City UT 84721-7742
Phone: (435) 383-9009
Fax: (435) 383-9010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 3301 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 3301 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 8441754-1206 Utah

Profile Details

NPI number 1134198419
LBN Legal business name Green, Jared A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Nov 1st, 2023 - about 3 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 1134198419 NPPES
Arizona MEDICAID 067405

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