Green, John Marshall

Green, John Marshall is an individual health care provider with primary practice located at 5000 Hennessy Blvd , Baton Rouge LA 70808-4375. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Green, John Marshall can be contacted via phone (225) 765-8987.

Contact Information

Primary practice address
5000 Hennessy Blvd Baton Rouge LA 70808-4375
Phone: (225) 765-8987
Fax: (225) 765-8667
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 06251R Louisiana

Profile Details

NPI number 1205875804
LBN Legal business name Green, John Marshall
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Jan 22nd, 2021 - 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 1205875804 NPPES
Louisiana MEDICAID 1336203

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