Green, James Matthew

Green, James Matthew is an sole proprietor health care provider with primary practice located at 1801 E 5Th St Suite 108-B, Charlotte NC 28204-2472. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Green, James Matthew can be contacted via phone (704) 375-2822.

Contact Information

Primary practice address
1801 E 5Th St Suite 108-B Charlotte NC 28204-2472
Phone: (704) 375-2822
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 862 North Carolina

Profile Details

NPI number 1003890724
LBN Legal business name Green, James Matthew
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2005
Last updated Nov 27th, 2007 - about 18 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 1003890724 NPPES
North Carolina Other 37036 BCBS

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