Green, Jean

Green, Jean is an sole proprietor health care provider with primary practice located at 30 Sever St , Worcester MA 01609-2194. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Green, Jean can be contacted via phone (508) 393-1920.

Contact Information

Primary practice address
30 Sever St Worcester MA 01609-2194
Phone: (508) 393-1920
Fax: (508) 393-0569
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 843 Massachusetts

Profile Details

NPI number 1639232903
LBN Legal business name Green, Jean
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 18th, 2006
Last updated Feb 11th, 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 1639232903 NPPES
Massachusetts Other LD 0054 BCBS PROVIDER ID
Massachusetts Other 39419 BCBS PROVIDER ID
Massachusetts Other 725391 BCBS PROVIDER ID

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