Green, Amber Star
Green, Amber Star is an individual health care provider with primary practice located at 1053 Center Street Sc House Calls Inc, West Columbia SC 29169. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Green, Amber Star can be contacted via phone (800) 491-0909.Contact Information
Primary practice address
1053 Center Street Sc House Calls Inc
West Columbia SC 29169
Phone: (800) 491-0909
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | F333891 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 7443 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 3473 | South Carolina |
Profile Details
| NPI number | 1205987047 |
|---|---|
| LBN Legal business name | Green, Amber Star |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Dec 21st, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205987047 | NPPES |
| South Carolina | Other | 109194 | SC RN MULTI-STATE LICENSE |
| South Carolina | Other | 111131 | SC RN MULTI-STATE LICENSE |
| South Carolina | Other | 3906732 | SC RN MULTI-STATE LICENSE |
| South Carolina | Other | 7443 | SC RN MULTI-STATE LICENSE |
| South Carolina | Other | 4031021 | SC RN MULTI-STATE LICENSE |
| South Carolina | Other | F333891-1 | SC RN MULTI-STATE LICENSE |
| South Carolina | Other | 533744-1 | SC RN MULTI-STATE LICENSE |
| South Carolina | Other | F333891 | SC RN MULTI-STATE LICENSE |
| South Carolina | Other | 3473 | SC RN MULTI-STATE LICENSE |
| South Carolina | Other | 533744 | SC RN MULTI-STATE LICENSE |
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