Organization
ED GREEN ELECTRIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW A GREEN (COO)
(740) 385-8624
Entity
Organization
Contact information
Practice address
406 W 2ND ST, LOGAN, OH 43138-1654
(740) 385-8624
(740) 385-0024
Mailing address
PO BOX 26, LOGAN, OH 43138-0026
(740) 385-8624
(740) 385-0024
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24618
OHIO DEPARTMENT OF COMMERCE
OH
Enumeration date
06/16/2021
Last updated
06/16/2021
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