Greenberg, Todd

Greenberg, Todd is an individual health care provider with primary practice located at 489 State St , Bangor ME 04401-6616. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Greenberg, Todd can be contacted via phone (207) 482-7800.

Contact Information

Primary practice address
489 State St Bangor ME 04401-6616
Fax:
Website:

Profile Details

NPI number 1063410421
LBN Legal business name Greenberg, Todd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Apr 23rd, 2021 - about 3 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 1063410421 NPPES
Ohio MEDICAID 2551822
Ohio MEDICAID 1063410421

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