Green, Justin

Green, Justin is an individual health care provider with primary practice located at 3917 West Rd Ste A , Los Alamos NM 87544-2292. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Green, Justin can be contacted via phone (505) 661-8900.

Contact Information

Primary practice address
3917 West Rd Ste A Los Alamos NM 87544-2292
Phone: (505) 661-8900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4568 South Dakota

Profile Details

NPI number 1114966462
LBN Legal business name Green, Justin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Sep 27th, 2024 - about 2 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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