Greenleaf, Edward C.

Greenleaf, Edward C. is an individual health care provider with primary practice located at 2027 Grand Canal Blvd Ste 25 , Stockton CA 95207-6650. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Radiation Oncology, Allopathic & Osteopathic Physicians / Therapeutic Radiology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Greenleaf, Edward C. can be contacted via phone (209) 475-1111.

Contact Information

Primary practice address
2027 Grand Canal Blvd Ste 25 Stockton CA 95207-6650
Phone: (209) 475-1111
Fax: (209) 475-1119
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X G51488 California
Allopathic & Osteopathic Physicians / Therapeutic Radiology 2085R0203X G51488 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G51488 California

Profile Details

NPI number 1629158340
LBN Legal business name Greenleaf, Edward C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629158340 NPPES
California MEDICAID 00G514880
California Other G51488

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