Greenberg, Jonathan S

Greenberg, Jonathan S is an individual health care provider with primary practice located at 153 Hazard Ave , Enfield CT 06082-4592. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Psychiatry, which is considered as his primary health care specialty. Greenberg, Jonathan S can be contacted via phone (860) 253-5020.

Contact Information

Primary practice address
153 Hazard Ave Enfield CT 06082-4592
Phone: (860) 253-5020
Fax: (860) 253-5030
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 25371 Connecticut

Profile Details

NPI number 1033107198
LBN Legal business name Greenberg, Jonathan S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Apr 11th, 2017 - about 7 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 1033107198 NPPES
Connecticut MEDICAID 001253715

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