Greenberg, Gary
Greenberg, Gary is an sole proprietor health care provider with primary practice located at 400 Bayonet St , New London CT 06320-2600. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Greenberg, Gary can be contacted via phone (860) 443-4163.Contact Information
Primary practice address
400 Bayonet St
New London CT 06320-2600
Phone: (860) 443-4163
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 00114 | Connecticut |
Profile Details
| NPI number | 1386650513 |
|---|---|
| LBN Legal business name | Greenberg, Gary |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Jul 8th, 2007 - 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 | 1386650513 | NPPES |
| Connecticut | Other | 240000114CT01 | ANTHEM PROVIDER NUMBER |
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