Greenberg, Jerome Richard

Greenberg, Jerome Richard is an sole proprietor health care provider with primary practice located at 1242 E 14Th St , Des Moines IA 50316-2402. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Greenberg, Jerome Richard can be contacted via phone (515) 263-0295.

Contact Information

Primary practice address
1242 E 14Th St Des Moines IA 50316-2402
Phone: (515) 263-0295
Fax: (515) 263-0115
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1709 Iowa
Eye and Vision Services Providers / Optometrist 152W00000X 6938 California

Profile Details

NPI number 1841286176
LBN Legal business name Greenberg, Jerome Richard
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2005
Last updated Oct 27th, 2008 - about 18 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 1841286176 NPPES
Other 421168561 AUTO OWNERS, PRAIRIE STATES
Other 421168561 AUTO OWNERS, PRAIRIE STATES
Other 81376 AUTO OWNERS, PRAIRIE STATES
Other 421168561 AUTO OWNERS, PRAIRIE STATES
Other 421168561 AUTO OWNERS, PRAIRIE STATES
Other 421168561 AUTO OWNERS, PRAIRIE STATES
Other 421168561 AUTO OWNERS, PRAIRIE STATES
Other 1709 AUTO OWNERS, PRAIRIE STATES
Other 421168561 AUTO OWNERS, PRAIRIE STATES
Other 421168561 AUTO OWNERS, PRAIRIE STATES
Other 421168561 AUTO OWNERS, PRAIRIE STATES
Other 421168561 AUTO OWNERS, PRAIRIE STATES
Other 421168561 AUTO OWNERS, PRAIRIE STATES
Other 421168561 AUTO OWNERS, PRAIRIE STATES
Other IA0101 AUTO OWNERS, PRAIRIE STATES
Other 17996 AUTO OWNERS, PRAIRIE STATES
Other 17996 AUTO OWNERS, PRAIRIE STATES
Other 17996 AUTO OWNERS, PRAIRIE STATES
Other 421168561 AUTO OWNERS, PRAIRIE STATES
Other 421168561 AUTO OWNERS, PRAIRIE STATES
Other 421168561 AUTO OWNERS, PRAIRIE STATES
Other 421168561 AUTO OWNERS, PRAIRIE STATES
Other 421168561 AUTO OWNERS, PRAIRIE STATES
Other 752838447 AUTO OWNERS, PRAIRIE STATES
Other 0000 AUTO OWNERS, PRAIRIE STATES
Other 421168561 AUTO OWNERS, PRAIRIE STATES
Other 421168561 AUTO OWNERS, PRAIRIE STATES
Other 421168561 AUTO OWNERS, PRAIRIE STATES
Other 421168561 AUTO OWNERS, PRAIRIE STATES
Other 81376 AUTO OWNERS, PRAIRIE STATES
Other 421168561 AUTO OWNERS, PRAIRIE STATES
Other 421168561 AUTO OWNERS, PRAIRIE STATES
Other 421168561 AUTO OWNERS, PRAIRIE STATES
MEDICAID 0005314 AUTO OWNERS, PRAIRIE STATES
Other 410020694 AUTO OWNERS, PRAIRIE STATES
Other 421168561 AUTO OWNERS, PRAIRIE STATES
Other 421168561 AUTO OWNERS, PRAIRIE STATES
Other 421168561 AUTO OWNERS, PRAIRIE STATES
Other 421168561 AUTO OWNERS, PRAIRIE STATES
Other 6938 AUTO OWNERS, PRAIRIE STATES

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