Greene, Robert Wilbur

Greene, Robert Wilbur is an individual health care provider with primary practice located at 6005 Park Ave Suite 112, Memphis TN 38119-5240. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Greene, Robert Wilbur can be contacted via phone (901) 761-5885.

Contact Information

Primary practice address
6005 Park Ave Suite 112 Memphis TN 38119-5240
Fax: (901) 761-5398
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 019597 Tennessee

Profile Details

NPI number 1134127665
LBN Legal business name Greene, Robert Wilbur
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated May 30th, 2014 - about 11 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 1134127665 NPPES
Tennessee Other 135549 BLUECROSSBLUESHIELD TN
Tennessee MEDICAID 3047082 BLUECROSSBLUESHIELD TN

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