Gruenewald, Richard Louis
Gruenewald, Richard Louis is an individual health care provider with primary practice located at 3638 Treehaven Bnd , Owensboro KY 42303-1785. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Gruenewald, Richard Louis can be contacted via phone (270) 485-1238.Contact Information
Primary practice address
3638 Treehaven Bnd
Owensboro KY 42303-1785
Phone: (270) 485-1238
Fax: (270) 684-4606
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 27791 | Kentucky |
Profile Details
NPI number | 1184671166 |
---|---|
LBN Legal business name | Gruenewald, Richard Louis |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 27th, 2006 |
Last updated | Oct 18th, 2013 - about 11 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 | 1184671166 | NPPES |
Indiana | MEDICAID | 100024520A | |
Indiana | Other | P01079958 | |
Indiana | Other | 000000754876 | |
Indiana | Other | 000000754876 | |
Indiana | MEDICAID | 64277916 |
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