Green, Walter J.

Green, Walter J. is an sole proprietor health care provider with primary practice located at 1120 Mossy Knoll Dr , Cordova TN 38018-6671. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Green, Walter J. can be contacted via phone (901) 334-6363.

Contact Information

Primary practice address
1120 Mossy Knoll Dr Cordova TN 38018-6671
Phone: (901) 334-6363
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1144836404
LBN Legal business name Green, Walter J.
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2020
Last updated Sep 21st, 2020 - about 4 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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