Greenberg, Gary
Greenberg, Gary is an individual health care provider with primary practice located at 4116 University Ave , Des Moines IA 50311-3533. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Greenberg, Gary can be contacted via phone (515) 274-1518.Contact Information
Primary practice address
4116 University Ave
Des Moines IA 50311-3533
Phone: (515) 274-1518
Fax: (515) 274-6916
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 17981 | Iowa |
Profile Details
| NPI number | 1770580482 |
|---|---|
| LBN Legal business name | Greenberg, Gary |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Nov 2nd, 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 | 1770580482 | NPPES |
| Iowa | MEDICAID | 1086553 |
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