Greenberg, George E

Greenberg, George E is an individual health care provider with primary practice located at 2004 1St Ave Suite A, Dodge City KS 67801-2623. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Greenberg, George E can be contacted via phone (620) 225-1033.

Contact Information

Primary practice address
2004 1St Ave Suite A Dodge City KS 67801-2623
Fax: (620) 227-8491
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0414629 Kansas

Profile Details

NPI number 1770537789
LBN Legal business name Greenberg, George E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Jul 8th, 2007 - about 18 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 1770537789 NPPES
Colorado MEDICAID 85232351

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