Green, Shanicka
Green, Shanicka is an individual health care provider with primary practice located at 1900 Westridge Rd , Carlsbad NM 88220-3550. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Green, Shanicka can be contacted via phone (575) 725-5552.Contact Information
Primary practice address
1900 Westridge Rd
Carlsbad NM 88220-3550
Phone: (575) 725-5552
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Peer Specialist | 175T00000X | 1735 | New Mexico |
Profile Details
NPI number | 1063250413 |
---|---|
LBN Legal business name | Green, Shanicka |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 18th, 2024 |
Last updated | Jul 18th, 2024 - about last year |
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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