Green, Sharon M
Green, Sharon M is an individual health care provider with primary practice located at 3111 W 6Th St , Lawrence KS 66049-3101. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Green, Sharon M can be contacted via phone (785) 841-5288.Contact Information
Primary practice address
3111 W 6Th St
Lawrence KS 66049-3101
Phone: (785) 841-5288
Fax: (785) 749-2323
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1382-3 | Kansas |
Profile Details
| NPI number | 1174522775 |
|---|---|
| LBN Legal business name | Green, Sharon M |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2005 |
| Last updated | May 27th, 2011 - about 15 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 | 1174522775 | NPPES |
| Kansas | MEDICAID | 100219780A |
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