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JEFF GREEN MD PC NPI 1073984019


NPI Information

NPI: 1073984019
Provider Name: JEFF GREEN MD PC
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Organization

Specialization: Child & Adolescent Psychiatry

Address:
1871 S 22ND AVE STE 3
BOZEMAN, MT
ZIP 59718
Phone: (406) 582-9306
Get Directions

JEFF GREEN MD PC is a child and adolescent psychiatry psychiatry neurology in Bozeman, MT. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. JEFF GREEN MD PC NPI is 1073984019. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1871 S 22ND AVE STE 3
BOZEMAN, MT
ZIP 59718-054
Phone: (406) 582-9306
Fax: (406) 205-1459

The provider's authorized official is Jeff Green .
The authorized official title is Owner and has the following contact phone number (406) 582-9306.

The enumeration date for this NPI number is 10/16/2015 and was last updated on 9/10/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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