Dr. Jordan W Greenberg
Pediatrician Pediatric Critical Care Doctor
747 Broadway
Seattle
, Washington 98122-4379
Dr. Jordan W Greenberg
Pediatrician Pediatric Critical Care Doctor
747 Broadway
Seattle
, Washington 98122-4379
(206) 709-7911
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About
Features
Specialties
- Pediatrician
- Pediatric Critical Care Doctor
Languages spoken
- English
Location
First Address
- Dr. Jordan W Greenberg
- 300 36th Ave E
- Seattle, WA
- Zip : 98112-4930
- Phone : (206) 709-7911
Second Address
- Dr. Jordan W Greenberg
- 747 Broadway
- Seattle, WA
- Zip : 98122-4379
- Fax : (206) 215-2702
- Phone : (206) 215-3155
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | MD00046393 | WA |
| Y | 2080P0203X | Pediatric Critical Care Doctor | MD00046393 | WA |
National Provider Identifier
| NPI | 1215989108 |
|---|---|
| Provider Name | Dr. Jordan W Greenberg |
| First Address | Seattle, WA 98112-4930 |
| Second Address | Seattle, WA 98122-4379 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/05/2006 |
| Last Update Date | 07/03/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1215989108 | (05) | WA |
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.