Greenberg, James J

Greenberg, James J is an individual health care provider with primary practice located at N2950 State Road 67 , Lake Geneva WI 53147-2655. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Greenberg, James J can be contacted via phone (262) 245-0535.

Contact Information

Primary practice address
N2950 State Road 67 Lake Geneva WI 53147-2655
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036-087181 Illinois
Allopathic & Osteopathic Physicians / Surgery 208600000X 53948 Wisconsin

Profile Details

NPI number 1164412136
LBN Legal business name Greenberg, James J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Sep 29th, 2011 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1164412136 NPPES
Illinois MEDICAID 036087181
Illinois Other GREENJAM
Illinois Other 01619787

Popular Providers