Green, Stephanie

Green, Stephanie is an individual health care provider with primary practice located at 554 N Main St Ste 104 , South Boston VA 24592-3283. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Green, Stephanie can be contacted via phone (434) 470-7995.

Contact Information

Primary practice address
554 N Main St Ste 104 South Boston VA 24592-3283
Phone: (434) 470-7995
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701006696 Virginia

Profile Details

NPI number 1366895328
LBN Legal business name Green, Stephanie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2016
Last updated Jan 9th, 2017 - about 9 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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