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
Phone: (330) 774-4670
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Developmental Disabilities | 261QD1600X |
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 5 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 | 1063010676 | NPPES |
| Ohio | MEDICAID | 5505995 |
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