National Provider Identifier Database

JAE M GREEN, PA-C – NPI #1437469731
Physician Assistant

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.


Contact Information

JAE M GREEN, PA-C
601 JOHN ST
SUITE M424
KALAMAZOO, MI49007-5341
Phone: 269-349-3350
Fax: 269-349-2403
Website:
Specialty Taxonomy Code
* Physician Assistant 363A00000X
Surgical 363AS0400X

* Indicates primary specialty

NPI Profile & details for JAE M GREEN

NPI Number 1437469731
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/20/2010
Last updated 12/15/2020 - About 5 years ago
Sole proprietor1 No
Identifiers
  • MI License #: 5601005905
  • MI Other: 5601005905 MICHIGAN STATE LICENSE
Hospital affiliation n/a

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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