Greenwell, Michael V.

Greenwell, Michael V. is an individual health care provider with primary practice located at 3950 Kresge Way Ste 207, Louisville KY 40207-4637. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Greenwell, Michael V. can be contacted via phone (502) 893-0220.

Contact Information

Primary practice address
3950 Kresge Way Ste 207 Louisville KY 40207-4637
Phone: (502) 893-0220
Fax: (502) 893-0563
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 207RG0100X Kentucky
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 24686 Kentucky

Profile Details

NPI number 1104821735
LBN Legal business name Greenwell, Michael V.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Aug 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104821735 NPPES
Kentucky MEDICAID 64246861

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