Green, Sandra Rose

Green, Sandra Rose is an sole proprietor health care provider with primary practice located at 200 Spring Valley Ave , Hackensack NJ 07601-2944. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as her primary health care specialty. Green, Sandra Rose can be contacted via phone (201) 656-2350.

Contact Information

Primary practice address
200 Spring Valley Ave Hackensack NJ 07601-2944
Phone: (201) 656-2350
Fax: (201) 656-1719
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X G73056897951662 New Jersey

Profile Details

NPI number 1649820788
LBN Legal business name Green, Sandra Rose
Credentials MEDICAL TRANSPORT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 19th, 2019
Last updated Sep 19th, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649820788 NPPES
New Jersey MEDICAID 0450406503

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