Greene, Edward Glendon
Greene, Edward Glendon is an individual health care provider with primary practice located at 2500 Niles Rd Ste 8, Saint Joseph MI 49085-3237. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Greene, Edward Glendon can be contacted via phone (269) 428-7150.Contact Information
Primary practice address
2500 Niles Rd Ste 8
Saint Joseph MI 49085-3237
Phone: (269) 428-7150
Fax: (269) 428-7152
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 2576 | Maryland |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 5501006499 | Michigan |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT41112 | California |
Profile Details
| NPI number | 1639258288 |
|---|---|
| LBN Legal business name | Greene, Edward Glendon |
| Credentials | MPH, PT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2006 |
| Last updated | Aug 9th, 2019 - about 6 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 | 1639258288 | NPPES |
| Michigan | Other | 650A111540 | BCBSM |
| Michigan | Other | 17498 | BCBSM |
| Michigan | Other | 5501006499 | BCBSM |
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