Greenough, Glen Paul

Greenough, Glen Paul is an individual health care provider with primary practice located at 1 Medical Center Drive , Lebanon NH 03756-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sleep Medicine, which is considered as his primary health care specialty. Greenough, Glen Paul can be contacted via phone (603) 650-7232.

Contact Information

Primary practice address
1 Medical Center Drive Lebanon NH 03756-0001
Phone: (603) 650-7232
Fax: (603) 650-9478
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 2084S0012X 10583 New Hampshire

Profile Details

NPI number 1538237839
LBN Legal business name Greenough, Glen Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2006
Last updated Jul 8th, 2007 - about 17 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 1538237839 NPPES
Vermont Other 0RE5273 MEDICAID
Vermont MEDICAID 30200450 MEDICAID

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