Greene, Kerry Nicole
Greene, Kerry Nicole is an sole proprietor health care provider with primary practice located at 8445 Munson Rd , Mentor OH 44060-2410. She recently has only one registered license in Agencies / Case Management, which is considered as her primary health care specialty. Greene, Kerry Nicole can be contacted via phone (440) 255-1700.Contact Information
Primary practice address
8445 Munson Rd
Mentor OH 44060-2410
Phone: (440) 255-1700
Fax: (440) 205-2417
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Case Management | 251B00000X |
Profile Details
| NPI number | 1104574151 |
|---|---|
| LBN Legal business name | Greene, Kerry Nicole |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 17th, 2022 |
| Last updated | Mar 17th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104574151 | NPPES |
| Ohio | MEDICAID | 2864093 |
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