Green, Gayle

Green, Gayle is an sole proprietor health care provider with primary practice located at 27777 Inkster Rd , Farmington Hills MI 48334-5326. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is his primary health care specialty. Green, Gayle can be contacted via phone (248) 436-4400.

Contact Information

Primary practice address
27777 Inkster Rd Farmington Hills MI 48334-5326
Phone: (248) 436-4400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 2084N0400X Michigan
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1467926584
LBN Legal business name Green, Gayle
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2019
Last updated Jan 14th, 2019 - about 6 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 1467926584 NPPES
Michigan Other XYK991439774 BLUE CARE NETWORK OF MICHIGAN

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