Green, John
Green, John is an sole proprietor health care provider with primary practice located at 6724 Castle Creek Dr , Fort Worth TX 76132-3708. He recently has only one registered license in Nursing Service Providers / Registered Nurse First Assistant, which is considered as his primary health care specialty. Green, John can be contacted via phone (817) 294-2087.Contact Information
Primary practice address
6724 Castle Creek Dr
Fort Worth TX 76132-3708
Phone: (817) 294-2087
Fax: (817) 656-3392
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse First Assistant | 163WR0006X | 572015 | Texas |
Profile Details
| NPI number | 1316133416 |
|---|---|
| LBN Legal business name | Green, John |
| Credentials | RNFA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2007 |
| Last updated | Sep 21st, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316133416 | NPPES |
| Texas | Other | 572015 | RN LICENSE |
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