Green, Melinda Annette

Green, Melinda Annette is an sole proprietor health care provider with primary practice located at 22 Meadowbrook Ave , Boardman OH 44512-2605. She recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as her primary health care specialty. Green, Melinda Annette can be contacted via phone (330) 774-4670.

Contact Information

Primary practice address
22 Meadowbrook Ave Boardman OH 44512-2605
Fax:
Website:

Health care specialties

Profile Details

NPI number 1063010676
LBN Legal business name Green, Melinda Annette
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 15th, 2020
Last updated Oct 15th, 2020 - about 4 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 1063010676 NPPES
Ohio MEDICAID 5505995

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