Green, Johnny Ray

Green, Johnny Ray is an individual health care provider with primary practice located at 20214 E Admiral Pl Apt 732 , Catoosa OK 74015-3265. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Green, Johnny Ray can be contacted via phone (870) 680-0227.

Contact Information

Primary practice address
20214 E Admiral Pl Apt 732 Catoosa OK 74015-3265
Phone: (870) 680-0227
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1275283921
LBN Legal business name Green, Johnny Ray
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2022
Last updated Mar 25th, 2022 - about 4 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.

Request for update

Popular Providers