Greathouse, Aleta B

Greathouse, Aleta B is an individual health care provider with primary practice located at 932 E 34Th Street , Joplin MO 64804. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Greathouse, Aleta B can be contacted via phone (417) 347-8310.

Contact Information

Primary practice address
932 E 34Th Street Joplin MO 64804
Fax: (417) 347-8314
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X TW00066 Kansas
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 119577 Missouri

Profile Details

NPI number 1427084136
LBN Legal business name Greathouse, Aleta B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated Jul 14th, 2022 - about 4 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 1427084136 NPPES
Oklahoma MEDICAID 200045630A
Oklahoma MEDICAID 204693410
Oklahoma MEDICAID 100346130E
Oklahoma Other 121157
Oklahoma Other P00175279

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