Greenwood, Dale W

Greenwood, Dale W is an individual health care provider with primary practice located at 170 N 1100 E , American Fork UT 84003-2096. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Emergency Medical Services is his primary health care specialty. Greenwood, Dale W can be contacted via phone (801) 855-3552.

Contact Information

Primary practice address
170 N 1100 E American Fork UT 84003-2096
Phone: (801) 855-3552
Fax: (801) 855-3558
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 166991 Utah
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 166991-1205 Utah

Profile Details

NPI number 1467405266
LBN Legal business name Greenwood, Dale W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Jan 23rd, 2009 - about 15 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 1467405266 NPPES
Utah MEDICAID 06851

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