Greenberg, Dale A

Greenberg, Dale A is an individual health care provider with primary practice located at 1641 Tamiami Trl Suite 1, Port Charlotte FL 33948-1042. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Greenberg, Dale A can be contacted via phone (941) 629-6262.

Contact Information

Primary practice address
1641 Tamiami Trl Suite 1 Port Charlotte FL 33948-1042
Phone: (941) 629-6262
Fax: (941) 629-1782
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME54138 Florida

Profile Details

NPI number 1699773952
LBN Legal business name Greenberg, Dale A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Jan 13th, 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 1699773952 NPPES
Other 10677 BCBS
MEDICAID 054477900 BCBS

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