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
Phone: (970) 476-1110
Fax: (970) 470-6648
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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