Green, Jilda S
Green, Jilda S is an sole proprietor health care provider with primary practice located at 4641 Roosevelt Blvd , Philadelphia PA 19124-2343. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, which is considered as her primary health care specialty. Green, Jilda S can be contacted via phone (215) 831-2896.Contact Information
Primary practice address
4641 Roosevelt Blvd
Philadelphia PA 19124-2343
Phone: (215) 831-2896
Fax: (215) 831-2929
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities | 103TM1800X | PS016428 | Pennsylvania |
Profile Details
| NPI number | 1740473792 |
|---|---|
| LBN Legal business name | Green, Jilda S |
| Credentials | PH D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 23rd, 2007 |
| Last updated | Jun 13th, 2012 - about 13 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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