Greathouse, David J
Greathouse, David J is an sole proprietor health care provider with primary practice located at 5 Doctors Ln , Macomb IL 61455-3369. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Greathouse, David J can be contacted via phone (309) 836-3387.Contact Information
Primary practice address
5 Doctors Ln
Macomb IL 61455-3369
Phone: (309) 836-3387
Fax: (309) 833-1023
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036078513 | Illinois |
Profile Details
| NPI number | 1720071129 |
|---|---|
| LBN Legal business name | Greathouse, David J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2005 |
| Last updated | Aug 2nd, 2010 - 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 | 1720071129 | NPPES |
| Illinois | MEDICAID | 036078513 |
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