Greathouse, Elvia A

Greathouse, Elvia A is an individual health care provider with primary practice located at 415 W 1St St , Bloomington IN 47403-2403. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Greathouse, Elvia A can be contacted via phone (812) 333-9650.

Contact Information

Primary practice address
415 W 1St St Bloomington IN 47403-2403
Fax: (812) 333-9680
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 01064349 Indiana

Profile Details

NPI number 1841399540
LBN Legal business name Greathouse, Elvia A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Jan 11th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1841399540 NPPES
Indiana MEDICAID 200890250

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