Greenbaum, Jeffrey D
Greenbaum, Jeffrey D is an sole proprietor health care provider with primary practice located at 625 E Broadway St , Jackson WY 83001-0428. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Greenbaum, Jeffrey D can be contacted via phone (307) 733-3636.Contact Information
Primary practice address
625 E Broadway St
Jackson WY 83001-0428
Phone: (307) 733-3636
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 6444A | Wyoming |
Profile Details
| NPI number | 1649383001 |
|---|---|
| LBN Legal business name | Greenbaum, Jeffrey D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 17th, 2006 |
| Last updated | Feb 3rd, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649383001 | NPPES |
| Wyoming | MEDICAID | 115562800 |
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