Green, William Macgregor

Green, William Macgregor is an individual health care provider with primary practice located at 2170 South Ave , South Lake Tahoe CA 96150-7026. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Green, William Macgregor can be contacted via phone (530) 543-5968.

Contact Information

Primary practice address
2170 South Ave South Lake Tahoe CA 96150-7026
Phone: (530) 543-5968
Fax: (530) 543-8683
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G27289 California

Profile Details

NPI number 1871591099
LBN Legal business name Green, William Macgregor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Sep 20th, 2012 - about 14 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 1871591099 NPPES
California MEDICAID 1871591099

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