Green, Layne Bedford

Green, Layne Bedford is an individual health care provider with primary practice located at 5955 Zeamer Ave Ste 1 , Elmendorf Afb AK 99506-3702. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Green, Layne Bedford can be contacted via phone (907) 580-2538.

Contact Information

Primary practice address
5955 Zeamer Ave Ste 1 Elmendorf Afb AK 99506-3702
Phone: (907) 580-2538
Fax: (907) 580-2505
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X M-10075 Idaho
Allopathic & Osteopathic Physicians / Dermatology 207N00000X M-10075 Idaho

Profile Details

NPI number 1669669867
LBN Legal business name Green, Layne Bedford
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2007
Last updated Oct 17th, 2019 - about 7 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 1669669867 NPPES
Idaho Other M-10075 STATE LICENCE #

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