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
Phone: (501) 312-1993
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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