Green, Thomas

Green, Thomas is an individual health care provider with primary practice located at 305 S 8Th St , Murray KY 42071-2404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Green, Thomas can be contacted via phone (270) 753-9300.

Contact Information

Primary practice address
305 S 8Th St Murray KY 42071-2404
Phone: (270) 753-9300
Fax: (270) 753-3549
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 17975 Kentucky

Profile Details

NPI number 1821093030
LBN Legal business name Green, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Mar 19th, 2012 - about 13 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 1821093030 NPPES
Kentucky Other 000000308977 ANTHEM
Kentucky MEDICAID 65940330 ANTHEM

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