Green, Scott A
Green, Scott A is an individual health care provider with primary practice located at 35 Kennedy Dr , Putnam CT 06260-1939. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine, which is considered as his primary health care specialty. Green, Scott A can be contacted via phone (860) 963-2133.Contact Information
Primary practice address
35 Kennedy Dr
Putnam CT 06260-1939
Phone: (860) 963-2133
Fax: (860) 963-8955
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine, Sports Medicine | 204C00000X | 000346 | Connecticut |
Profile Details
| NPI number | 1003813502 |
|---|---|
| LBN Legal business name | Green, Scott A |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2005 |
| Last updated | Sep 3rd, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003813502 | NPPES |
| Connecticut | MEDICAID | 001003467 |
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