Green, Courtney Ann

Green, Courtney Ann is an individual health care provider with primary practice located at 15 Mercer Ave , East Hartford CT 06118-1517. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Green, Courtney Ann can be contacted via phone (860) 622-5514.

Contact Information

Primary practice address
15 Mercer Ave East Hartford CT 06118-1517
Fax: (860) 622-5342
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 006800 Connecticut

Profile Details

NPI number 1407004567
LBN Legal business name Green, Courtney Ann
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2008
Last updated Nov 7th, 2012 - about 12 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 1407004567 NPPES
Connecticut Other 006800 STATE LICENSE

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