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
Phone: (860) 622-5514
Fax: (860) 622-5342
Website:
Health care specialties
| Specialty | Code | License # | 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 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407004567 | NPPES |
| Connecticut | Other | 006800 | STATE LICENSE |
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