Green, Wesley

Green, Wesley is an sole proprietor health care provider with primary practice located at 3340 Lake Center Dr Apt 12107 , Mount Dora FL 32757-2378. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, which is considered as his primary health care specialty. Green, Wesley can be contacted via phone (352) 800-9172.

Contact Information

Primary practice address
3340 Lake Center Dr Apt 12107 Mount Dora FL 32757-2378
Phone: (352) 800-9172
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X

Profile Details

NPI number 1962012310
LBN Legal business name Green, Wesley
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2020
Last updated Jul 31st, 2020 - about 5 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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