Greenberg, Steven M.

Greenberg, Steven M. is an individual health care provider with primary practice located at 1880 Judith Lane , Boise ID 83705-3185. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Greenberg, Steven M. can be contacted via phone (208) 367-6910.

Contact Information

Primary practice address
1880 Judith Lane Boise ID 83705-3185
Phone: (208) 367-6910
Fax: (208) 367-6140
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M7049 Idaho
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M-7049 Idaho

Profile Details

NPI number 1407817364
LBN Legal business name Greenberg, Steven M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
Last updated Feb 27th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407817364 NPPES
Idaho MEDICAID 003702400

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