Green, Michael Mccutcheon

Green, Michael Mccutcheon is an individual health care provider with primary practice located at 2720 N Harbor Blvd 130, Fullerton CA 92835-2609. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Green, Michael Mccutcheon can be contacted via phone (714) 449-6200.

Contact Information

Primary practice address
2720 N Harbor Blvd 130 Fullerton CA 92835-2609
Phone: (714) 449-6200
Fax: (714) 449-6283
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20A4975 California
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 20A4975 California

Profile Details

NPI number 1902944788
LBN Legal business name Green, Michael Mccutcheon
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2007
Last updated Jul 8th, 2007 - about 19 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 1902944788 NPPES
California Other 20A4975 STATE MEDICAL LICENSE

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