Greenbaum, Paul Joseph
Greenbaum, Paul Joseph is an sole proprietor health care provider with primary practice located at 6609 Beau Chene Ne , Albuquerque NM 87111-6500. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Greenbaum, Paul Joseph can be contacted via phone (505) 299-2193.Contact Information
Primary practice address
6609 Beau Chene Ne
Albuquerque NM 87111-6500
Phone: (505) 299-2193
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 72149 | New Mexico |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 72149 | New Mexico |
Profile Details
| NPI number | 1790832137 |
|---|---|
| LBN Legal business name | Greenbaum, Paul Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 5th, 2007 |
| Last updated | May 13th, 2008 - about 17 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 | 1790832137 | NPPES |
| New Mexico | MEDICAID | 207R00000X | |
| New Mexico | MEDICAID | 00011098 |
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