Greene, Erin Andrea

Greene, Erin Andrea is an sole proprietor health care provider with primary practice located at 30 E Apple St Ste 5254A, Dayton OH 45409-2939. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Greene, Erin Andrea can be contacted via phone (937) 208-4200.

Contact Information

Primary practice address
30 E Apple St Ste 5254A Dayton OH 45409-2939
Fax: (937) 208-4205
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X COA 09844-NS Ohio

Profile Details

NPI number 1770760837
LBN Legal business name Greene, Erin Andrea
Credentials CNS-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2008
Last updated Aug 2nd, 2013 - about 13 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 1770760837 NPPES
Ohio MEDICAID 3138876

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