Green, Peter

Green, Peter is an individual health care provider with primary practice located at 3400 E Lake St , Minneapolis MN 55406-2150. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Green, Peter can be contacted via phone (651) 274-0986.

Contact Information

Primary practice address
3400 E Lake St Minneapolis MN 55406-2150
Phone: (651) 274-0986
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1992347694
LBN Legal business name Green, Peter
Credentials LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2019
Last updated Oct 14th, 2019 - about 7 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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