Green, Andrea

Green, Andrea is an sole proprietor health care provider with primary practice located at 115 Bath St , Elyria OH 44035-3501. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Green, Andrea can be contacted via phone (440) 494-5192.

Contact Information

Primary practice address
115 Bath St Elyria OH 44035-3501
Phone: (440) 494-5192
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X 401323941111 Ohio

Profile Details

NPI number 1154856953
LBN Legal business name Green, Andrea
Credentials STNA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 29th, 2017
Last updated Apr 29th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154856953 NPPES
Ohio MEDICAID 0208731

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