Green, Carolyn

Green, Carolyn is an sole proprietor health care provider with primary practice located at 1634 Belmar Rd , Cleveland Hts OH 44118-1156. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Green, Carolyn can be contacted via phone (216) 407-1764.

Contact Information

Primary practice address
1634 Belmar Rd Cleveland Hts OH 44118-1156
Phone: (216) 407-1764
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X LPN 154793-M-IV Ohio

Profile Details

NPI number 1083029581
LBN Legal business name Green, Carolyn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2014
Last updated Jul 9th, 2015 - about 11 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 1083029581 NPPES
Ohio MEDICAID LPN PN154793

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