Greenberg, Steven M.
Greenberg, Steven M. is an individual health care provider with primary practice located at 1880 Judith Lane , Boise ID 83705-3185. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Greenberg, Steven M. can be contacted via phone (208) 367-6910.Contact Information
Primary practice address
1880 Judith Lane
Boise ID 83705-3185
Phone: (208) 367-6910
Fax: (208) 367-6140
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M7049 | Idaho |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M-7049 | Idaho |
Profile Details
| NPI number | 1407817364 |
|---|---|
| LBN Legal business name | Greenberg, Steven M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2006 |
| Last updated | Feb 27th, 2015 - about 9 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 | 1407817364 | NPPES |
| Idaho | MEDICAID | 003702400 |
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