Green, Charles Perry

Green, Charles Perry is an sole proprietor health care provider with primary practice located at 3361 No Kid Rd , Kamiah ID 83536-5002. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Green, Charles Perry can be contacted via phone (208) 553-0284.

Contact Information

Primary practice address
3361 No Kid Rd Kamiah ID 83536-5002
Phone: (208) 553-0284
Fax: (208) 935-2329
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X 003866467 Idaho

Profile Details

NPI number 1811266927
LBN Legal business name Green, Charles Perry
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2011
Last updated Dec 19th, 2011 - about 14 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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