Dr. Dylan Eugene Greeney
Dermatologist
120 Se 4th St
Evansville
, Indiana 47708-1607
Dr. Dylan Eugene Greeney
Dermatologist
120 Se 4th St
Evansville
, Indiana 47708-1607
(317) 278-2686
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Dr. Dylan Eugene Greeney
- 1120 W Michigan St # Cl630
- Indianapolis, IN
- Zip : 46202-5209
- Phone : (317) 278-2686
Second Address
- Dr. Dylan Eugene Greeney
- 120 Se 4th St
- Evansville, IN
- Zip : 47708-1607
- Phone : (812) 426-9355
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 01085699A | IN |
National Provider Identifier
| NPI | 1033639190 |
|---|---|
| Provider Name | Dr. Dylan Eugene Greeney |
| First Address | Indianapolis, IN 46202-5209 |
| Second Address | Evansville, IN 47708-1607 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/06/2017 |
| Last Update Date | 14/09/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 11019560A | INDIANA PROFESSIONAL LICENSING AGENCY (01) | IN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.