Green, Deborah
Green, Deborah is an sole proprietor health care provider with primary practice located at 16401 Black Bear Cir , Anchorage AK 99516-6951. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Green, Deborah can be contacted via phone (907) 229-7728.Contact Information
Primary practice address
16401 Black Bear Cir
Anchorage AK 99516-6951
Phone: (907) 229-7728
Fax: (907) 644-2858
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | M614 | Alaska |
Profile Details
| NPI number | 1114068483 |
|---|---|
| LBN Legal business name | Green, Deborah |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 9th, 2007 |
| Last updated | Jul 9th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114068483 | NPPES |
| Alaska | MEDICAID | CM2908 | |
| Alaska | MEDICAID | CMG290 |
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