National Provider Identifier Database

DEBORAH S GREENE APRN LLC
Psychiatric/Mental Health, Adult


Contact Information

DEBORAH S GREENE APRN LLC
760 HOPMEADOW ST
BOX 813
SIMSBURY, CT06070-2223
Phone: 860-804-8684
Fax:
Website:
Specialty Taxonomy Code
* Psychiatric/Mental Health, Adult 364SP0809X

* Indicates primary specialty

NPI Profile & details for DEBORAH S GREENE APRN LLC

NPI Number 1336556513
Legal business name
LBN
DEBORAH S GREENE APRN LLC
Authorized official DEBORAH GREENE - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 07/19/2014
Last updated 07/19/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • CT License #: 000837
  • CT Medicaid: 1215073812

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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