Greene, Otis
Greene, Otis is an individual health care provider with primary practice located at 39407 Vista Del Sol , Rancho Mirage CA 92270-3283. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Greene, Otis can be contacted via phone (877) 502-3218.Contact Information
Primary practice address
39407 Vista Del Sol
Rancho Mirage CA 92270-3283
Phone: (877) 502-3218
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1740893361 |
|---|---|
| LBN Legal business name | Greene, Otis |
| Credentials | SUBSTANCE USE DISORD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2020 |
| Last updated | Jan 24th, 2024 - about 10 months 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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