Green Sports Medicine, Inc.

LBN: Green Sports Medicine Inc
Green Sports Medicine, Inc. is an health care organization with primary practice located at 2021 Herndon Ave Ste 201 , Clovis CA 93611-6101. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is the primary health care specialty. Green Sports Medicine Inc can be contacted via phone (559) 981-5566, or through Green, Erick via phone (559) 813-3005.

Contact Information

Primary practice address
2021 Herndon Ave Ste 201 Clovis CA 93611-6101
Phone: (559) 981-5566
Fax: (559) 228-9989
Website:
Map and Directions
Authorized official contact:
Name: Green, Erick Doctor of Medicine (MD)
Phone: (559) 813-3005

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X

Profile Details

NPI number 1396210563
LBN Legal business name Green Sports Medicine Inc
DBA Doing business as Green Sports Medicine, Inc.
Authorized official Green, Erick Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2018
Last updated Nov 18th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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