Eric R Green
MD | Pediatrics | Male
Eric R Green, MD is a Holland, Michigan based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Eric R Green is
926 S Washington Ave, Holland, Michigan - 49423-7725. He can be contacted on phone at
616-393-0166.
Eric R Green is a sole proprietor of his business.
NPI number (Unique professional ID) for Eric R Green is
1194798777 which was assigned by NPPES on 13 Feb, 2006 and it was last updated on 07 Mar, 2023.
Eric R Green license number is
4301080025 for Pediatrics (208000000X) in Michigan.
Eric R Green is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Eric R Green basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Eric R Green |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Eric R Green address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 926 S Washington Ave
Holland, MI, 49423-7725
United States |
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| Phone Number : | 616-393-0166 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1194798777 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 13 Feb, 2006 |
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| Last Updated On : | 07 Mar, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Eric R Green are as mentioned. Primary taxonomy code for Eric R Green, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 174400000X | Specialist | No | 4301080025 | MI |
| 208000000X | Pediatrics | Yes | 4301080025 | MI |
Legacy Identifiers:
Other legacy medical identifiers of Eric R Green such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 4301080025 | Other (non-Medicare) | MI | Physician License |
| 4409089 Type 10 | MEDICAID | MI | |
| 5315010080 | Other (non-Medicare) | MI | Board of Pharmacy |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1990 Leisure Blvd
Holland, MI, 49424-9076
United States |
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Business Location:
Patients can refer following map for directions to
Eric R Green practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.