Greenway, C Don

Greenway, C Don is an individual health care provider with primary practice located at 409 N University Ave , Little Rock AR 72205-3108. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Greenway, C Don can be contacted via phone (501) 664-6980.

Contact Information

Primary practice address
409 N University Ave Little Rock AR 72205-3108
Phone: (501) 664-6980
Fax: (501) 664-4738
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X C4718 Arkansas

Profile Details

NPI number 1891799722
LBN Legal business name Greenway, C Don
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Jul 13th, 2016 - about 8 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 1891799722 NPPES
Arkansas MEDICAID 104495001

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