Greenberg, Ethan

Greenberg, Ethan is an individual health care provider with primary practice located at 6341 University Ave Ne , Fridley MN 55432-4946. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Greenberg, Ethan can be contacted via phone (612) 626-5775.

Contact Information

Primary practice address
6341 University Ave Ne Fridley MN 55432-4946
Phone: (612) 626-5775
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 65460 Minnesota

Profile Details

NPI number 1225416944
LBN Legal business name Greenberg, Ethan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2015
Last updated Jan 18th, 2024 - about 2 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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