Greene, Bob H

Greene, Bob H is an individual health care provider with primary practice located at 4303 Michigan Ave , Manitowoc WI 54220-3066. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Greene, Bob H can be contacted via phone (920) 320-4300.

Contact Information

Primary practice address
4303 Michigan Ave Manitowoc WI 54220-3066
Fax: (920) 684-5146
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 40942 Wisconsin

Profile Details

NPI number 1497855803
LBN Legal business name Greene, Bob H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Jun 3rd, 2008 - 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 1497855803 NPPES
Wisconsin MEDICAID 32563300

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