Green, Omar

Green, Omar is an sole proprietor health care provider with primary practice located at 883 Paddock Avenue Rushford Center Inc, Meriden CT 06450-7044. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Green, Omar can be contacted via phone (203) 630-5280.

Contact Information

Primary practice address
883 Paddock Avenue Rushford Center Inc Meriden CT 06450-7044
Phone: (203) 630-5280
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 000085 Connecticut
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1063843845
LBN Legal business name Green, Omar
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 4th, 2013
Last updated May 2nd, 2021 - about 3 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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