Green, Melissa
Green, Melissa is an sole proprietor health care provider with primary practice located at 709 Cassius Ave , Youngstown OH 44505-3464. She recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as her primary health care specialty. Green, Melissa can be contacted via phone (330) 717-4460.Contact Information
Primary practice address
709 Cassius Ave
Youngstown OH 44505-3464
Phone: (330) 717-4460
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Day Training, Developmentally Disabled Services | 251C00000X | 7803324 | Ohio |
Profile Details
| NPI number | 1386230654 |
|---|---|
| LBN Legal business name | Green, Melissa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 21st, 2020 |
| Last updated | Dec 21st, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386230654 | NPPES |
| Ohio | MEDICAID | 0265879 |
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