Green, Walter Russell
Green, Walter Russell is an sole proprietor health care provider with primary practice located at 5131 Roosevelt Ave , San Antonio TX 78214-3219. He recently has only one registered license in Suppliers / Customized Equipment, which is considered as his primary health care specialty. Green, Walter Russell can be contacted via phone (210) 526-5213.Contact Information
Primary practice address
5131 Roosevelt Ave
San Antonio TX 78214-3219
Phone: (210) 526-5213
Fax: (210) 626-1191
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Customized Equipment | 332BC3200X |
Profile Details
| NPI number | 1447412598 |
|---|---|
| LBN Legal business name | Green, Walter Russell |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 30th, 2008 |
| Last updated | Jun 30th, 2008 - about 18 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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