Green, Latasha A

Green, Latasha A is an individual health care provider with primary practice located at 25 Kalin St , Phenix City AL 36869-3469. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Green, Latasha A can be contacted via phone (706) 330-3754.

Contact Information

Primary practice address
25 Kalin St Phenix City AL 36869-3469
Phone: (706) 330-3754
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1962960740
LBN Legal business name Green, Latasha A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2019
Last updated Mar 11th, 2019 - about 6 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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