Green, Teresa Diane

Green, Teresa Diane is an sole proprietor health care provider with primary practice located at 415 W Gladys St , Sikeston MO 63801-2733. She recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as her primary health care specialty. Green, Teresa Diane can be contacted via phone (573) 475-9254.

Contact Information

Primary practice address
415 W Gladys St Sikeston MO 63801-2733
Phone: (573) 475-9254
Fax: (573) 475-9254
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Homemaker 376J00000X 19920393 Missouri

Profile Details

NPI number 1104154293
LBN Legal business name Green, Teresa Diane
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2009
Last updated Nov 30th, 2009 - about 17 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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