Green, Troy A

Green, Troy A is an individual health care provider with primary practice located at 5629 Stadium Dr , Kalamazoo MI 49009-1952. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Green, Troy A can be contacted via phone (269) 372-5701.

Contact Information

Primary practice address
5629 Stadium Dr Kalamazoo MI 49009-1952
Phone: (269) 372-5701
Fax: (269) 372-5702
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601002289 Michigan

Profile Details

NPI number 1184604530
LBN Legal business name Green, Troy A
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Dec 11th, 2014 - about 12 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 1184604530 NPPES
Michigan Other 700C910950 BCBSM
Michigan MEDICAID 1184604530 BCBSM

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