Greene, Bob H
Greene, Bob H is an individual health care provider with primary practice located at 4303 Michigan Ave , Manitowoc WI 54220-3066. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Greene, Bob H can be contacted via phone (920) 320-4300.Contact Information
Primary practice address
4303 Michigan Ave
Manitowoc WI 54220-3066
Phone: (920) 320-4300
Fax: (920) 684-5146
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 40942 | Wisconsin |
Profile Details
| NPI number | 1497855803 |
|---|---|
| LBN Legal business name | Greene, Bob H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Jun 3rd, 2008 - about 17 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 | 1497855803 | NPPES |
| Wisconsin | MEDICAID | 32563300 |
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