Greene, Miriam L

Greene, Miriam L is an sole proprietor health care provider with primary practice located at 111 19Th Ave , Moline IL 61265-3754. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Greene, Miriam L can be contacted via phone (309) 757-0300.

Contact Information

Primary practice address
111 19Th Ave Moline IL 61265-3754
Phone: (309) 757-0300
Fax: (309) 757-0400
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 33465 Illinois

Profile Details

NPI number 1518485705
LBN Legal business name Greene, Miriam L
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2017
Last updated Jul 21st, 2022 - 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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