Green, Katie E
Green, Katie E is an individual health care provider with primary practice located at 457 Jack Martin Blvd. , Brick NJ 08724. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Green, Katie E can be contacted via phone (732) 840-7500.Contact Information
Primary practice address
457 Jack Martin Blvd.
Brick NJ 08724
Phone: (732) 840-7500
Fax: (732) 840-2088
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 014932-1 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 25MP00367400 | New Jersey |
Profile Details
| NPI number | 1679853634 |
|---|---|
| LBN Legal business name | Green, Katie E |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2011 |
| Last updated | Apr 10th, 2018 - about 8 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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