Green, Dominique

Green, Dominique is an individual health care provider with primary practice located at 8020 River Stone Dr , Fredericksburg VA 22407-8761. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Green, Dominique can be contacted via phone (540) 834-2500.

Contact Information

Primary practice address
8020 River Stone Dr Fredericksburg VA 22407-8761
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X

Profile Details

NPI number 1932874609
LBN Legal business name Green, Dominique
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2021
Last updated Aug 13th, 2021 - about 4 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.

Request for update

Popular Providers