Greenlee, Joseph A
Greenlee, Joseph A is an individual health care provider with primary practice located at 11108 Parkview Circle Dr Suite 5100, Fort Wayne IN 46845-1730. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Greenlee, Joseph A can be contacted via phone (260) 266-2800.Contact Information
Primary practice address
11108 Parkview Circle Dr Suite 5100
Fort Wayne IN 46845-1730
Phone: (260) 266-2800
Fax: (260) 266-2805
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 24151 | Alabama |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 01066643A | Indiana |
Profile Details
| NPI number | 1497744510 |
|---|---|
| LBN Legal business name | Greenlee, Joseph A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2005 |
| Last updated | Oct 20th, 2022 - about 3 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 | 1497744510 | NPPES |
| Indiana | MEDICAID | 200943540 | |
| Indiana | Other | 000000618052 |
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