Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | OH000076 | PA |
Y | 222Z00000X | Podiatrist | OH000076 | PA |
N | 224P00000X | Prosthetist |
NPI | 1134274509 |
---|---|
Provider Name | Mr. Sean William Greer |
First Address | Pittsburgh, PA 15238-2908 |
Second Address | Pittsburgh, PA 15238-2908 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2007 |
Last Update Date | 20/01/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7795273 | (05) | NC |