Individual
SCOTT P GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
119 E 3RD ST, RUSHVILLE, IN 46173-1839
(765) 938-2027
Mailing address
119 E 3RD ST, RUSHVILLE, IN 46173-1839
(765) 938-2027
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
17001347A
IN
Other
Enumeration date
03/21/2012
Last updated
03/21/2012
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