Theresa Green in Saint Joseph - Anesthesiologist Assistant
Theresa Green - NPI 1598792558
Theresa Green is a Anesthesiologist Assistant in Saint Joseph, Michigan. Theresa Green practices all healthcare services and medical treatments related to Anesthesiologist Assistant. The NPI Number for Theresa Green is 1598792558. The last update date is 2007-07-08.
Theresa Green's current location address is 1496 Fetke Dr, Saint Joseph, Michigan. You can contact this provider via phone number 2694081114. The mailing address for Theresa Green is 1496 Fetke Dr, Saint Joseph, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theresa Green |
|---|---|
| Address | 1496 Fetke Dr, Saint Joseph, Michigan |
| Phone Number | 2694081114 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | ANESTHESIO |
NPI Number Detail
| NPI Number | 1598792558 |
|---|---|
| Provider Enumeration Date | 2006-06-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1496 Fetke Dr |
|---|---|
| City | Saint Joseph |
| State | Michigan (MI) |
| Post Code | 490858649 |
| Phone Number | 2694081114 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Anesthesiologist Assistant |
|---|---|
| Taxonomy | 367H00000X |
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Definition: An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesth |
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Post Comment/ Review Below
What is the unique identifier code issued to Theresa Green by the Centers for Medicare & Medicaid Services (CMS)?
The Theresa Green has been assigned the NPI (National Provider Identifier) 1598792558. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Theresa Green?
The Theresa Green is situated at 1496 Fetke Dr, in the city of Saint Joseph, state of MI, with the zip code 490858649.
What is the Theresa Green's area of specialization and corresponding taxonomy classification?
The Theresa Green's specialty field is Anesthesiologist Assistant, and it falls under the taxonomy code 367H00000X, which categorizes healthcare providers based on their specialties.
On what date did the Theresa Green receive the assignment of its 1598792558 from the Centers for Medicare & Medicaid Services?
The Theresa Green was issued its 1598792558 by the Centers for Medicare & Medicaid Services on 2006-06-27.
As of what date were the details pertaining to Theresa Green last refreshed?
The information related to the Theresa Green, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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