Greenwood, Jack M
Greenwood, Jack M is an sole proprietor health care provider with primary practice located at 120 N Country Rd , Port Jefferson NY 11777-2604. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as his primary health care specialty. Greenwood, Jack M can be contacted via phone (631) 474-0444.Contact Information
Primary practice address
120 N Country Rd
Port Jefferson NY 11777-2604
Phone: (631) 474-0444
Fax: (631) 928-8605
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | 124686 | New York |
Profile Details
NPI number | 1851396865 |
---|---|
LBN Legal business name | Greenwood, Jack M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 16th, 2005 |
Last updated | Apr 2nd, 2008 - about 16 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 | 1851396865 | NPPES |
New York | MEDICAID | 00664526 |
Popular Providers
-
Janousek, Steven T
3601 Minnesota Dr Ste 200 , Bloomington MN 55435-5281 -
Portnoy, Shulamit Menashe
1465 S Grand Blvd , St. Louis MO 63104-1003 -
Pistone, Daniel N.
19531 Mclane St Suite B , Palm Springs CA 92262 -
Cordoba, Eunice
933 16Th St Sw Apt 1 , Loveland CO 80537-7095 -
Hershkowitz, Laura Lynn
316 Martin Luther King Jr Way #408, Tacoma WA 98405-4252 -
Morris, Eugene Brannon
1086 1/2 Baxter St , Athens GA 30606-6316 -
Anderson, Anne Elizabeth
6701 Fannin , Houston TX 77030 -
Cass, Paul R
10 Members Way Ste 300 , Dover NH 03820-5933