Green, Wm. Michael

Green, Wm. Michael is an sole proprietor health care provider with primary practice located at 1600 N Rose Ave , Oxnard CA 93030-3722. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Green, Wm. Michael can be contacted via phone (805) 988-2708.

Contact Information

Primary practice address
1600 N Rose Ave Oxnard CA 93030-3722
Phone: (805) 988-2708
Fax: (805) 981-4423
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X G19218 California

Profile Details

NPI number 1295869675
LBN Legal business name Green, Wm. Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2007
Last updated May 5th, 2008 - about 18 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 1295869675 NPPES
California Other G19218 MEDICAL BOARD OF CA
California Other 1376601393 MEDICAL BOARD OF CA
California MEDICAID 00G192180 MEDICAL BOARD OF CA
California Other 220001484 MEDICAL BOARD OF CA
California MEDICAID GR0059650 MEDICAL BOARD OF CA

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