Greengart, David Jonathan

Greengart, David Jonathan is an sole proprietor health care provider with primary practice located at 2919 Shenandoah Valley Dr , Little Rock AR 72212-3141. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Greengart, David Jonathan can be contacted via phone (501) 312-1993.

Contact Information

Primary practice address
2919 Shenandoah Valley Dr Little Rock AR 72212-3141
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X E-4595 Arkansas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2008003303 Missouri
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036.117655 Illinois

Profile Details

NPI number 1134172901
LBN Legal business name Greengart, David Jonathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2006
Last updated Nov 20th, 2009 - about 15 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 1134172901 NPPES
Missouri MEDICAID 1134172901
Missouri MEDICAID 159424001
Missouri MEDICAID 036117655
Missouri Other 1134172901
Missouri MEDICAID 036117655-6

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