Greenberg, Tina Sue
Greenberg, Tina Sue is an individual health care provider with primary practice located at 5407 Excelsior Blvd Suite D, St Louis Park MN 55416. She recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Other Service Providers / Acupuncturist. Chiropractic Providers / Chiropractor is her primary health care specialty. Greenberg, Tina Sue can be contacted via phone (952) 920-9247.Contact Information
Primary practice address
5407 Excelsior Blvd Suite D
St Louis Park MN 55416
Phone: (952) 920-9247
Fax: (952) 922-3480
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1715 | Minnesota |
| Chiropractic Providers / Chiropractor | 111N00000X | 2045 | Oklahoma |
| Chiropractic Providers / Chiropractor | 111N00000X | 1442 | Washington |
| Other Service Providers / Acupuncturist | 171100000X | 632 | Minnesota |
Profile Details
| NPI number | 1396844916 |
|---|---|
| LBN Legal business name | Greenberg, Tina Sue |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396844916 | NPPES |
| Minnesota | Other | 4486621 | MEDICA |
| Minnesota | Other | 413616R | MEDICA |
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