Green, Tabatha

Green, Tabatha is an individual health care provider with primary practice located at 1221 East Brand Blvd , Detroit MI 48211. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Green, Tabatha can be contacted via phone (734) 458-4601.

Contact Information

Primary practice address
1221 East Brand Blvd Detroit MI 48211
Phone: (734) 458-4601
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 4703109730 Michigan

Profile Details

NPI number 1528572930
LBN Legal business name Green, Tabatha
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2017
Last updated Nov 21st, 2017 - about 8 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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