Green, Rhonda Jean

Green, Rhonda Jean is an sole proprietor health care provider with primary practice located at 415 Fairview Ave Ste 201 , Ponca City OK 74601-1932. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Green, Rhonda Jean can be contacted via phone (580) 762-9355.

Contact Information

Primary practice address
415 Fairview Ave Ste 201 Ponca City OK 74601-1932
Phone: (580) 762-9355
Fax: (580) 762-3547
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 04-29171 Kansas

Profile Details

NPI number 1649370032
LBN Legal business name Green, Rhonda Jean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2006
Last updated Mar 2nd, 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 1649370032 NPPES
Kansas MEDICAID 100400730A
Kansas Other 9843
Kansas Other 415880
Kansas Other 080175482

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