Greenberger, Mark D

Greenberger, Mark D is an individual health care provider with primary practice located at 6029 Walnut Grove Rd Suite 300, Memphis TN 38120-2112. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Greenberger, Mark D can be contacted via phone (901) 767-8158.

Contact Information

Primary practice address
6029 Walnut Grove Rd Suite 300 Memphis TN 38120-2112
Phone: (901) 767-8158
Fax: (901) 767-1555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 16815 Mississippi
Allopathic & Osteopathic Physicians / Urology 208800000X 28010 Tennessee

Profile Details

NPI number 1497860720
LBN Legal business name Greenberger, Mark D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Nov 20th, 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 1497860720 NPPES
Tennessee MEDICAID 3809034
Tennessee Other 7120129
Tennessee MEDICAID 0123339
Tennessee MEDICAID 131430001
Tennessee Other 3601198
Tennessee Other P00399926

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