Individual
BRYAN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HEARING AID DISPENSE
Contact information
Practice address
1000 DELBON AVE STE 7, TURLOCK, CA 95382-2008
(209) 632-2213
(209) 632-2213
Mailing address
PO BOX 3090, TURLOCK, CA 95381-3090
(209) 632-2213
(209) 632-3781
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA1741
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HA0017410
—
CA
01
—
ZZZ06931Z
BLUE SHIELD PROVIDER
CA
Enumeration date
01/11/2007
Last updated
07/09/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us