Green, Teryn Ashli

Green, Teryn Ashli is an individual health care provider with primary practice located at 212 5Th Ave , Helena MT 59601-4204. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Green, Teryn Ashli can be contacted via phone (406) 560-1715.

Contact Information

Primary practice address
212 5Th Ave Helena MT 59601-4204
Phone: (406) 560-1715
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MED-PAC-LIC-80097 Montana

Profile Details

NPI number 1285255893
LBN Legal business name Green, Teryn Ashli
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2020
Last updated May 5th, 2020 - about 6 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 1285255893 NPPES
Montana Other MED-PAC-LIC-80097 STATE OF MONTANA PHYSICIAN ASSISTANT LICENSE

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