Greenhalgh, Jason Ryan
Greenhalgh, Jason Ryan is an sole proprietor health care provider with primary practice located at 775 Pole Line Rd W Suite 301, Twin Falls ID 83301-5814. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Greenhalgh, Jason Ryan can be contacted via phone (208) 814-8700.Contact Information
Primary practice address
775 Pole Line Rd W Suite 301
Twin Falls ID 83301-5814
Phone: (208) 814-8700
Fax: (208) 933-4914
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | R-7693 | Iowa |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | M-11276 | Idaho |
Profile Details
| NPI number | 1952478703 |
|---|---|
| LBN Legal business name | Greenhalgh, Jason Ryan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Dec 29th, 2014 - about 10 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 | 1952478703 | NPPES |
| Idaho | Other | P00983738 | MCRR |
| Idaho | MEDICAID | 1952478703 | MCRR |
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