Green, Matthew A.

Green, Matthew A. is an individual health care provider with primary practice located at 22 Bramhall St , Portland ME 04102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, which is considered as his primary health care specialty. Green, Matthew A. can be contacted via phone (207) 662-2526.

Contact Information

Primary practice address
22 Bramhall St Portland ME 04102
Phone: (207) 662-2526
Fax: (207) 662-6236
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X MD23094 Maine

Profile Details

NPI number 1366523425
LBN Legal business name Green, Matthew A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Nov 7th, 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 1366523425 NPPES
Maine MEDICAID 1366523425

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