Green, Thomas Alan

Green, Thomas Alan is an sole proprietor health care provider with primary practice located at 12630 N 103Rd Ave Ste 142 , Sun City AZ 85351-3463. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Green, Thomas Alan can be contacted via phone (480) 275-2022.

Contact Information

Primary practice address
12630 N 103Rd Ave Ste 142 Sun City AZ 85351-3463
Phone: (480) 275-2022
Fax: (888) 551-6092
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN078764 Arizona

Profile Details

NPI number 1477511665
LBN Legal business name Green, Thomas Alan
Credentials FNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2006
Last updated Feb 8th, 2022 - about 4 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 1477511665 NPPES
Arizona MEDICAID 769044

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