Green, Sean E

Green, Sean E is an individual health care provider with primary practice located at 911 23Rd St , Canyon TX 79015-4600. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Green, Sean E can be contacted via phone (806) 655-2104.

Contact Information

Primary practice address
911 23Rd St Canyon TX 79015-4600
Phone: (806) 655-2104
Fax: (806) 655-0522
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA01160 Texas

Profile Details

NPI number 1679585517
LBN Legal business name Green, Sean E
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Aug 22nd, 2024 - about 2 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 1679585517 NPPES
Texas Other 129700101 SOUTHWEST LIFE & HEALTH
Texas Other 8N8379 SOUTHWEST LIFE & HEALTH
Texas Other 129700101 SOUTHWEST LIFE & HEALTH

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