Greene, Corey Edward

Greene, Corey Edward is an individual health care provider with primary practice located at 40 Shae Ave Ste A , Chapmanville WV 25508-9805. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Greene, Corey Edward can be contacted via phone (304) 310-2261.

Contact Information

Primary practice address
40 Shae Ave Ste A Chapmanville WV 25508-9805
Phone: (304) 310-2261
Fax: (304) 310-2262
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 01532 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 679 West Virginia

Profile Details

NPI number 1174828867
LBN Legal business name Greene, Corey Edward
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2011
Last updated Mar 16th, 2022 - about 3 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 1174828867 NPPES
West Virginia MEDICAID 3810020048
West Virginia MEDICAID 1174828867

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