Green, Amy Jo
Green, Amy Jo is an sole proprietor health care provider with primary practice located at 7301 N 58Th Ave , Glendale AZ 85301-1893. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Green, Amy Jo can be contacted via phone (757) 287-3524.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | Arizona |
Profile Details
| NPI number | 1285776278 |
|---|---|
| LBN Legal business name | Green, Amy Jo |
| Credentials | PSY. S |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 13th, 2007 |
| Last updated | Jul 26th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285776278 | NPPES |
| Arizona | MEDICAID | 133328 |
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