Greene, Donald Richard
Greene, Donald Richard is an sole proprietor health care provider with primary practice located at 80 Randi Dr , Madison CT 06443-2462. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Greene, Donald Richard can be contacted via phone (203) 444-1227.Contact Information
Primary practice address
80 Randi Dr
Madison CT 06443-2462
Phone: (203) 444-1227
Fax: (203) 444-1227
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 018276 | Connecticut |
Profile Details
| NPI number | 1629040886 |
|---|---|
| LBN Legal business name | Greene, Donald Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Sep 25th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629040886 | NPPES |
| Connecticut | MEDICAID | 001182765 |
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