Green, Sharon
Green, Sharon is an sole proprietor health care provider with primary practice located at 6100 E Main St , Farmington NM 87402-3034. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Green, Sharon can be contacted via phone (505) 326-7878.Contact Information
Primary practice address
6100 E Main St
Farmington NM 87402-3034
Phone: (505) 326-7878
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | X-09690 | New Mexico |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | X-11439 | New Mexico |
Profile Details
| NPI number | 1649724055 |
|---|---|
| LBN Legal business name | Green, Sharon |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 15th, 2016 |
| Last updated | Jul 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649724055 | NPPES |
| New Mexico | MEDICAID | 85-0431989 |
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