Green, Robert Allen

Green, Robert Allen is an sole proprietor health care provider with primary practice located at 113 Flagg Pl Bldg B , Lafayette LA 70508-7025. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Green, Robert Allen can be contacted via phone (337) 247-7282.

Contact Information

Primary practice address
113 Flagg Pl Bldg B Lafayette LA 70508-7025
Phone: (337) 247-7282
Fax: (337) 279-0776
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 221575 Louisiana

Profile Details

NPI number 1487328464
LBN Legal business name Green, Robert Allen
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 4th, 2021
Last updated Jan 5th, 2023 - about 3 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 1487328464 NPPES
Louisiana MEDICAID 2584294

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