Green, Peter Alex

Green, Peter Alex is an individual health care provider with primary practice located at 78 Ridgewood Dr , Bangor ME 04401-2652. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Green, Peter Alex can be contacted via phone (207) 307-8909.

Contact Information

Primary practice address
78 Ridgewood Dr Bangor ME 04401-2652
Phone: (207) 307-8909
Fax: (207) 307-8919
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD21318 Maine
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X MD21318 Maine

Profile Details

NPI number 1962627927
LBN Legal business name Green, Peter Alex
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2007
Last updated Jul 16th, 2021 - about 5 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 1962627927 NPPES
Wisconsin MEDICAID 1962627927

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