Greenbaum, Mitchell Gordon

Greenbaum, Mitchell Gordon is an individual health care provider with primary practice located at 2702 Navarre Ave Suite 305, Oregon OH 43616-3223. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Greenbaum, Mitchell Gordon can be contacted via phone (419) 691-8000.

Contact Information

Primary practice address
2702 Navarre Ave Suite 305 Oregon OH 43616-3223
Phone: (419) 691-8000
Fax: (419) 693-0111
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 34007744G Ohio

Profile Details

NPI number 1740247568
LBN Legal business name Greenbaum, Mitchell Gordon
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Oct 31st, 2011 - about 15 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 1740247568 NPPES
Ohio MEDICAID 2284675

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