Greenberg, Sidney
Greenberg, Sidney is an individual health care provider with primary practice located at 523 Gandy St Ne Ste. A, Russellville AL 35653-1947. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Greenberg, Sidney can be contacted via phone (205) 208-9955.Contact Information
Primary practice address
523 Gandy St Ne Ste. A
Russellville AL 35653-1947
Phone: (205) 208-9955
Fax: (888) 561-0756
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | S328TA145 | Alabama |
Profile Details
| NPI number | 1548342660 |
|---|---|
| LBN Legal business name | Greenberg, Sidney |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2006 |
| Last updated | Oct 7th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548342660 | NPPES |
| Alabama | Other | 051059359 | BCBS OF AL |
| Alabama | MEDICAID | 000059359 | BCBS OF AL |
| Alabama | Other | 051527188 | BCBS OF AL |
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