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
Fax: (515) 274-6916
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770580482 NPPES
Iowa MEDICAID 1086553

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