Greenwell, Bernard Damon

Greenwell, Bernard Damon is an individual health care provider with primary practice located at 222 West Dixie Avenue , Elizabethtown KY 42701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Greenwell, Bernard Damon can be contacted via phone (270) 769-1219.

Contact Information

Primary practice address
222 West Dixie Avenue Elizabethtown KY 42701
Phone: (270) 769-1219
Fax: (270) 769-5123
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 13474 Kentucky

Profile Details

NPI number 1316020951
LBN Legal business name Greenwell, Bernard Damon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Jul 8th, 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 1316020951 NPPES
Kentucky Other 1065979 PASSPORT
Kentucky MEDICAID 64134745 PASSPORT

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