Greenholz, Jared Ross

Greenholz, Jared Ross is an individual health care provider with primary practice located at 1411 E 31St St , Oakland CA 94602-1018. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Greenholz, Jared Ross can be contacted via phone (209) 342-2300.

Contact Information

Primary practice address
1411 E 31St St Oakland CA 94602-1018
Phone: (209) 342-2300
Fax: (209) 524-4240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A64953 California

Profile Details

NPI number 1417930520
LBN Legal business name Greenholz, Jared Ross
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Jul 13th, 2026 - about 3 months 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 1417930520 NPPES
California MEDICAID 00A649530

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