Greathouse, Elvia A
Greathouse, Elvia A is an individual health care provider with primary practice located at 415 W 1St St , Bloomington IN 47403-2403. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Greathouse, Elvia A can be contacted via phone (812) 333-9650.Contact Information
Primary practice address
415 W 1St St
Bloomington IN 47403-2403
Phone: (812) 333-9650
Fax: (812) 333-9680
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 01064349 | Indiana |
Profile Details
| NPI number | 1841399540 |
|---|---|
| LBN Legal business name | Greathouse, Elvia A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Jan 11th, 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 | 1841399540 | NPPES |
| Indiana | MEDICAID | 200890250 |
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