Greenberg, Jerry Howard

Greenberg, Jerry Howard is an individual health care provider with primary practice located at 108 S Frontage Rd W Us Bank Building Ste 306, Vail CO 81657-5053. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Greenberg, Jerry Howard can be contacted via phone (970) 476-1110.

Contact Information

Primary practice address
108 S Frontage Rd W Us Bank Building Ste 306 Vail CO 81657-5053
Fax: (970) 470-6648
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 23738 Colorado

Profile Details

NPI number 1962498766
LBN Legal business name Greenberg, Jerry Howard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Jun 7th, 2021 - about 4 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 1962498766 NPPES
Colorado MEDICAID 01237387
Colorado MEDICAID 1962498766
Colorado MEDICAID 10026280600
Colorado MEDICAID 10026280800
Colorado MEDICAID 10026281000
Colorado MEDICAID 10026283100
Colorado MEDICAID 1982948089
Colorado MEDICAID 03788075
Colorado MEDICAID 10026280700
Colorado MEDICAID 10026281200
Colorado MEDICAID 201070520A

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