Green, Miles Anthony

Green, Miles Anthony is an individual health care provider with primary practice located at 701 W Wetmore Rd , Tucson AZ 85705-1547. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Green, Miles Anthony can be contacted via phone (520) 696-5000.

Contact Information

Primary practice address
701 W Wetmore Rd Tucson AZ 85705-1547
Phone: (520) 696-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X Arizona

Profile Details

NPI number 1831228089
LBN Legal business name Green, Miles Anthony
Credentials SCHOOL PSYCHOLOGIST
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Jul 25th, 2007 - about 18 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 1831228089 NPPES
Arizona MEDICAID 541533

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