Green, Desarae M

Green, Desarae M is an sole proprietor health care provider with primary practice located at 1917 S Taylor Rd # 203 , Cleveland Heights OH 44118-2103. She recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as her primary health care specialty. Green, Desarae M can be contacted via phone (440) 431-9108.

Contact Information

Primary practice address
1917 S Taylor Rd # 203 Cleveland Heights OH 44118-2103
Phone: (440) 431-9108
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1235986191
LBN Legal business name Green, Desarae M
Credentials CRANIAL PROSTHESIS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 30th, 2024
Last updated Apr 30th, 2024 - about 8 months 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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