Green, Jack D

Green, Jack D is an individual health care provider with primary practice located at 1755 Oregon Pike Suite 200, Lancaster PA 17601-4272. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Green, Jack D can be contacted via phone (717) 581-5255.

Contact Information

Primary practice address
1755 Oregon Pike Suite 200 Lancaster PA 17601-4272
Phone: (717) 581-5255
Fax: (717) 581-5259
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW014273 Pennsylvania

Profile Details

NPI number 1356402408
LBN Legal business name Green, Jack D
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated May 7th, 2013 - about 12 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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