Greeney, Dylan Eugene

Greeney, Dylan Eugene is an individual health care provider with primary practice located at 120 Se 4Th St , Evansville IN 47708-1607. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Greeney, Dylan Eugene can be contacted via phone (812) 426-9355.

Contact Information

Primary practice address
120 Se 4Th St Evansville IN 47708-1607
Phone: (812) 426-9355
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 11019560A Indiana
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 01085699A Indiana

Profile Details

NPI number 1033639190
LBN Legal business name Greeney, Dylan Eugene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2017
Last updated Sep 14th, 2021 - about 5 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 1033639190 NPPES
Indiana Other 11019560A INDIANA PROFESSIONAL LICENSING AGENCY

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