Green, Lyndal

Green, Lyndal is an sole proprietor health care provider with primary practice located at 11517 Kanis Rd , Little Rock AR 72211-3724. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Green, Lyndal can be contacted via phone (501) 993-8707.

Contact Information

Primary practice address
11517 Kanis Rd Little Rock AR 72211-3724
Fax: (501) 223-8075
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X OTR335 Arkansas

Profile Details

NPI number 1548426034
LBN Legal business name Green, Lyndal
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 4th, 2008
Last updated Aug 4th, 2008 - about 16 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 1548426034 NPPES
Arkansas MEDICAID 116021721

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