Green, Dominic

Green, Dominic is an sole proprietor health care provider with primary practice located at 4728 Quadrant St , Capitol Heights MD 20743-5266. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Green, Dominic can be contacted via phone (240) 781-9659.

Contact Information

Primary practice address
4728 Quadrant St Capitol Heights MD 20743-5266
Phone: (240) 781-9659
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1922708866
LBN Legal business name Green, Dominic
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2023
Last updated Apr 17th, 2023 - about 3 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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