Green, Lonnelle Antonio

Green, Lonnelle Antonio is an individual health care provider with primary practice located at 29516 Canvasback Dr , Easton MD 21601-7140. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Green, Lonnelle Antonio can be contacted via phone (410) 822-5007.

Contact Information

Primary practice address
29516 Canvasback Dr Easton MD 21601-7140
Phone: (410) 822-5007
Fax: (410) 822-5569
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1144400359
LBN Legal business name Green, Lonnelle Antonio
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2007
Last updated Nov 6th, 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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