Green, Scott M.
Green, Scott M. is an individual health care provider with primary practice located at 7373 W Jefferson Ave Suite 201, Lakewood CO 80235-2038. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Green, Scott M. can be contacted via phone (303) 979-1559.Contact Information
Primary practice address
7373 W Jefferson Ave Suite 201
Lakewood CO 80235-2038
Phone: (303) 979-1559
Fax: (303) 986-6895
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 29123 | Colorado |
Profile Details
| NPI number | 1801877519 |
|---|---|
| LBN Legal business name | Green, Scott M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2005 |
| Last updated | Apr 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801877519 | NPPES |
| Colorado | MEDICAID | 91689279 |
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