Greenbaum, Clifford D

Greenbaum, Clifford D is an individual health care provider with primary practice located at 8003 N Port Washington Rd , Milwaukee WI 53217-2647. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Greenbaum, Clifford D can be contacted via phone (414) 228-6444.

Contact Information

Primary practice address
8003 N Port Washington Rd Milwaukee WI 53217-2647
Phone: (414) 228-6444
Fax: (414) 228-7005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 658025 Wisconsin

Profile Details

NPI number 1003990961
LBN Legal business name Greenbaum, Clifford D
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Mar 7th, 2023 - about 3 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 1003990961 NPPES
Wisconsin Other 658025 WISCONSIN STATE LIC.
Wisconsin MEDICAID 43214600 WISCONSIN STATE LIC.

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