Green, John Willock

Green, John Willock is an individual health care provider with primary practice located at 561 W Central Ave , Delaware OH 43015-1410. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Green, John Willock can be contacted via phone (740) 615-2141.

Contact Information

Primary practice address
561 W Central Ave Delaware OH 43015-1410
Phone: (740) 615-2141
Fax: (740) 615-2142
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35.081269 Ohio
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 35081269 Ohio

Profile Details

NPI number 1518949106
LBN Legal business name Green, John Willock
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Jan 5th, 2022 - about 4 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 1518949106 NPPES
Ohio MEDICAID 2411947

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