Greene, Shirley R

Greene, Shirley R is an sole proprietor health care provider with primary practice located at 39 Plymouth St , Holbrook MA 02343-1510. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Greene, Shirley R can be contacted via phone (781) 767-4207.

Contact Information

Primary practice address
39 Plymouth St Holbrook MA 02343-1510
Phone: (781) 767-4207
Fax: (781) 767-4281
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 43495 Massachusetts

Profile Details

NPI number 1619998366
LBN Legal business name Greene, Shirley R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2006
Last updated Jul 8th, 2007 - about 18 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 1619998366 NPPES
Massachusetts Other 043495 TUFTS
Massachusetts Other D14274 TUFTS
Massachusetts Other 0051709001 TUFTS
Massachusetts MEDICAID 2067471 TUFTS
Massachusetts Other 6545 TUFTS
Massachusetts Other 04-02041 TUFTS

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