Greenberg, Tina Sue

Greenberg, Tina Sue is an individual health care provider with primary practice located at 5407 Excelsior Blvd Suite D, St Louis Park MN 55416. She recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Other Service Providers / Acupuncturist. Chiropractic Providers / Chiropractor is her primary health care specialty. Greenberg, Tina Sue can be contacted via phone (952) 920-9247.

Contact Information

Primary practice address
5407 Excelsior Blvd Suite D St Louis Park MN 55416
Phone: (952) 920-9247
Fax: (952) 922-3480
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1715 Minnesota
Chiropractic Providers / Chiropractor 111N00000X 2045 Oklahoma
Chiropractic Providers / Chiropractor 111N00000X 1442 Washington
Other Service Providers / Acupuncturist 171100000X 632 Minnesota

Profile Details

NPI number 1396844916
LBN Legal business name Greenberg, Tina Sue
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Jul 8th, 2007 - about 17 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 1396844916 NPPES
Minnesota Other 4486621 MEDICA
Minnesota Other 413616R MEDICA

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