Greenbaum, Larry M

Greenbaum, Larry M is an individual health care provider with primary practice located at 701 E County Line Rd Suite 101, Greenwood IN 46143-1070. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Rheumatology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Rheumatology is his primary health care specialty. Greenbaum, Larry M can be contacted via phone (317) 885-2860.

Contact Information

Primary practice address
701 E County Line Rd Suite 101 Greenwood IN 46143-1070
Phone: (317) 885-2860
Fax: (317) 885-2869
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 01041115 Indiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01041115 Indiana

Profile Details

NPI number 1316927072
LBN Legal business name Greenbaum, Larry M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Jan 12th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316927072 NPPES
Indiana MEDICAID 100385970

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