Greenberg, Mark R
Greenberg, Mark R is an individual health care provider with primary practice located at 204 Patrick Ave , Urbana OH 43078-2302. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Greenberg, Mark R can be contacted via phone (937) 484-6181.Contact Information
Primary practice address
204 Patrick Ave
Urbana OH 43078-2302
Phone: (937) 484-6181
Fax: (937) 484-6181
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I.1500165 | Ohio |
Profile Details
| NPI number | 1346664109 |
|---|---|
| LBN Legal business name | Greenberg, Mark R |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2014 |
| Last updated | May 6th, 2026 - about 6 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346664109 | NPPES |
| Ohio | MEDICAID | 0277186 |
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