Green, William M

Green, William M is an individual health care provider with primary practice located at 401 1 2 Sherman Suite 206, Coeur D Alene ID 83814-2777. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Green, William M can be contacted via phone (208) 765-1894.

Contact Information

Primary practice address
401 1 2 Sherman Suite 206 Coeur D Alene ID 83814-2777
Phone: (208) 765-1894
Fax: (208) 666-1598
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY310 Idaho
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY14247 California

Profile Details

NPI number 1033276431
LBN Legal business name Green, William M
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1033276431 NPPES
Idaho MEDICAID 8050444

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