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:
Health care specialties
Specialty | Code | License # | 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 15 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 | 1699773952 | NPPES |
Other | 10677 | BCBS | |
MEDICAID | 054477900 | BCBS |
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