Green, Jason Truman

Green, Jason Truman is an individual health care provider with primary practice located at 1024 S Lemay Ave , Fort Collins CO 80524-3929. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Green, Jason Truman can be contacted via phone (303) 306-7783.

Contact Information

Primary practice address
1024 S Lemay Ave Fort Collins CO 80524-3929
Phone: (303) 306-7783
Fax: (303) 306-7753
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X IL036-110752 Wyoming
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 43340 Colorado

Profile Details

NPI number 1790758233
LBN Legal business name Green, Jason Truman
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated May 13th, 2014 - about 12 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 1790758233 NPPES
Colorado MEDICAID 01976818
Colorado MEDICAID 121920100

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