Green, Holly

Green, Holly is an individual health care provider with primary practice located at 3688 Sand Creek Rd , Farmington MO 63640-7350. She recently has only one registered license in Nursing Service Related Providers / Nursing Home Administrator, which is considered as her primary health care specialty. Green, Holly can be contacted via phone (573) 756-2917.

Contact Information

Primary practice address
3688 Sand Creek Rd Farmington MO 63640-7350
Phone: (573) 756-2917
Fax: (573) 756-7347
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nursing Home Administrator 376G00000X 043352 Missouri

Profile Details

NPI number 1548644693
LBN Legal business name Green, Holly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2015
Last updated Jul 17th, 2015 - about 9 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

Identifiers

StateTypeNumberIssuer
All States NPI 1548644693 NPPES
Missouri MEDICAID 043352

Popular Providers