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
Fax: (270) 684-4606
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184671166 NPPES
Indiana MEDICAID 100024520A
Indiana Other P01079958
Indiana Other 000000754876
Indiana Other 000000754876
Indiana MEDICAID 64277916

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