Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CHARLES PERRY GREEN
Active Sole ProprietorMR. CHARLES PERRY GREEN is a Community Health Worker healthcare provider located in KAMIAH, Idaho. NPI 1811266927 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · KAMIAH, ID
Registration Details
- NPI Number
- 1811266927
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 19, 2011 (14.692418128316 yrs)
- Last Updated
- Dec 19, 2011
- License
-
003866467 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3361 NO KID RDKAMIAH, ID, 835365002Browse ID providers · Browse ZIP 83536
- Phone
- 2085530284
- Fax
- 2089352329
- Primary Specialty
-
Community Health Worker
172V00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.