Greene, Maryellen E

Greene, Maryellen E is an sole proprietor health care provider with primary practice located at 1990 N Prospect Ave , Lecanto FL 34461-9792. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Greene, Maryellen E can be contacted via phone (352) 527-6888.

Contact Information

Primary practice address
1990 N Prospect Ave Lecanto FL 34461-9792
Fax: (352) 527-8818
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9104960 Florida

Profile Details

NPI number 1669521001
LBN Legal business name Greene, Maryellen E
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2007
Last updated Mar 22nd, 2012 - about 14 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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