Green, Rebecca J

Green, Rebecca J is an sole proprietor health care provider with primary practice located at 803 Meyers Baker Rd Ste 200 , London KY 40741-3040. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Green, Rebecca J can be contacted via phone (606) 878-3240.

Contact Information

Primary practice address
803 Meyers Baker Rd Ste 200 London KY 40741-3040
Fax: (606) 878-3245
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3010388 Kentucky

Profile Details

NPI number 1285086520
LBN Legal business name Green, Rebecca J
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2016
Last updated Mar 31st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285086520 NPPES
Kentucky Other 3010388 KENTUCY LICENSE

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