Greenberg, Jay Melvin

Greenberg, Jay Melvin is an individual health care provider with primary practice located at 29218 Highway 58 Blvd , Red Wing MN 55066-7407. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Greenberg, Jay Melvin can be contacted via phone (651) 388-8294.

Contact Information

Primary practice address
29218 Highway 58 Blvd Red Wing MN 55066-7407
Fax: (651) 388-7461
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1402 Minnesota

Profile Details

NPI number 1518060904
LBN Legal business name Greenberg, Jay Melvin
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2006
Last updated Jul 8th, 2007 - about 19 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 1518060904 NPPES
Other 31174GR BLUE CROSS BLUE SHIELD
Other 230288 BLUE CROSS BLUE SHIELD

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