Green, Michael D

Green, Michael D is an individual health care provider with primary practice located at 410 West Main Street , Sophia WV 25921. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Green, Michael D can be contacted via phone (304) 683-4304.

Contact Information

Primary practice address
410 West Main Street Sophia WV 25921
Phone: (304) 683-4304
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Washington

Profile Details

NPI number 1699898882
LBN Legal business name Green, Michael D
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated Jul 8th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1699898882 NPPES
West Virginia Other 1040471 NCCPA

Popular Providers