PATRICK GREEN ATC
NPI 1649714726
Specialist in Portland, ME
- Individual
- Male
- Specialist
About PATRICK GREEN
This page provides the complete NPI Profile along with additional information for Patrick Green, a provider established in Portland, Maine with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1649714726 assigned on December 2016. The practitioner's primary taxonomy code is 174400000X with license number AT625 (ME). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1649714726 Verify this NPI
- Provider Name
- PATRICK GREEN ATC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 267 OCEAN AVE PORTLAND, ME 04103
- Location Phone
- (207) 756-9188
- Mailing Address
- 36A MAPLEWOOD ST PORTLAND, ME 04103
- Mailing Phone
- (207) 756-9188
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 12-08-2016
- Last Update Date
- 12-08-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- AT625
- License State
- ME
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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Other Providers at the Same Location
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649714726, enumerated as an "individual" on December 08, 2016.
The provider is located at 267 OCEAN AVE PORTLAND, ME 04103 and the phone number is (207) 756-9188.
Specialist with taxonomy code 174400000X.
