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NPI Code Detail

MEDICARE: HERMAN GREEN

MEDICARE: HERMAN GREEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1730938960
Entity Type Code : Individual
Provider Name (Legal Business Name) : HERMAN GREEN
Provider Business Mailing Address
First Line : 1416 HICKORY AVE APT A
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70123-2146
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1416 HICKORY AVE APT A
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70123-2146
Country : US
Telephone Number : 504-606-1097
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2024
Last Update Date : 05/20/2024

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Directions to “ HERMAN GREEN ” Practice Location

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