Green, Gale Williams

Green, Gale Williams is an sole proprietor health care provider with primary practice located at 4319 Queensboro Ave S , Saint Petersburg FL 33711-2751. She recently has only one registered license in Agencies / Home Health, which is considered as her primary health care specialty. Green, Gale Williams can be contacted via phone (727) 368-6088.

Contact Information

Primary practice address
4319 Queensboro Ave S Saint Petersburg FL 33711-2751
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X Florida

Profile Details

NPI number 1023214210
LBN Legal business name Green, Gale Williams
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2007
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023214210 NPPES
Florida MEDICAID 6922872 96

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