Green, Ben Nmi

Green, Ben Nmi is an individual health care provider with primary practice located at 7617 Mineral Point Rd Ste 300, Madison WI 53717-1623. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Green, Ben Nmi can be contacted via phone (608) 833-9290.

Contact Information

Primary practice address
7617 Mineral Point Rd Ste 300 Madison WI 53717-1623
Phone: (608) 833-9290
Fax: (608) 833-9691
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 31440-020 Wisconsin
Behavioral Health & Social Service Providers / Clinical 103TC0700X 1639-57 Wisconsin

Profile Details

NPI number 1104882927
LBN Legal business name Green, Ben Nmi
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Jan 19th, 2011 - about 13 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 1104882927 NPPES
Wisconsin MEDICAID 39088700

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