National Provider Identifier Database

JUSTIN T GREEN
Student in an Organized Health Care Education/Training Program

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.


Contact Information

JUSTIN T GREEN
1760 TERMINO AVE STE 208
LONG BEACH, CA90804-2151
Phone: 562-961-5655
Fax: 562-961-8819
Website:
Specialty Taxonomy Code
* Student in an Organized Health Care Education/Training Program 390200000X
Surgical Assistant 246ZC0007X

* Indicates primary specialty

NPI Profile & details for JUSTIN T GREEN

NPI Number 1093312142
Credentials
Entity Individual
Enumeration date 10/01/2020
Last updated 10/01/2020 - About 6 years ago
Sole proprietor1 Yes
Identifiers n/a
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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