Green, Tyler Nicholas Preston
Green, Tyler Nicholas Preston is an individual health care provider with primary practice located at 2157 Greenbrier St , Charleston WV 25311-9623. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Green, Tyler Nicholas Preston can be contacted via phone (304) 245-9802.Contact Information
Primary practice address
2157 Greenbrier St
Charleston WV 25311-9623
Phone: (304) 245-9802
Fax: (304) 344-3503
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1467105312 |
|---|---|
| LBN Legal business name | Green, Tyler Nicholas Preston |
| Credentials | BS PSYCHOLOGY |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2022 |
| Last updated | Feb 1st, 2022 - 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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