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Contact Information

CHRISTOPHER S GREEN, MD
2705 N LEBANON ST STE 300
LEBANON, IN46052
 Phone: 765-485-8649
 Fax: 765-485-8650
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for CHRISTOPHER S GREEN · (Male)

NPI # 1902284342
Status Active
Credentials MD
Entity Individual
Enumeration date 05/18/2015
Last updated 10/11/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01080947A
  • IN Medicaid 201292650
Hospital affiliation(s)
  • WITHAM HEALTH SERVICES - (Acute Care)
    2605 N LEBANON ST
    LEBANON, IN 46052
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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