Stanley Greenburg

Individual provider Active NPI Hearing Instrument Specialist · Ladue, MO

NPI 1265840458 · NPPES record last updated Jul 31, 2014

Key facts

NPI
1265840458
Entity type
Individual (NPI type 1)
Primary specialty
Hearing Instrument Specialist 237700000X
License
2013001166 (MO)
Practice address
8839 Ladue Road
Ladue, MO 63124-2045
Phone
(314) 721-7775
NPI assigned
Jul 31, 2014
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2013001166MOMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Hearing Aid Company Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 2013001166 MO Yes

Addresses

Primary practice location

8839 Ladue Road
Ladue, MO 63124-2045

Mailing address

36 Hampton Village PLZ
Saint Louis, MO 63109-2127
Phone (314) 481-6005

Other providers in Ladue, MO

All providers in Ladue, MO · Hearing Instrument Specialist in Missouri

Sources for this page

Verify at the official NPI Registry.