Greene, Michael Cayman
Greene, Michael Cayman is an sole proprietor health care provider with primary practice located at 5205 E Cortland Blvd Apt 174 , Flagstaff AZ 86004-9314. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Greene, Michael Cayman can be contacted via phone (575) 640-1041.Contact Information
Primary practice address
5205 E Cortland Blvd Apt 174
Flagstaff AZ 86004-9314
Phone: (575) 640-1041
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X |
Profile Details
| NPI number | 1841764289 |
|---|---|
| LBN Legal business name | Greene, Michael Cayman |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2019 |
| Last updated | Dec 6th, 2020 - 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 | 1841764289 | NPPES |
| Other | 2000035823 | ATHLETIC TRAINER - BOARD OF CERTIFICATION |
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