Adelglass, Jeffrey M

Adelglass, Jeffrey M is an individual health care provider with primary practice located at 6020 W Parker Rd Ste 400, Plano TX 75093-7900. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Adelglass, Jeffrey M can be contacted via phone (972) 492-6990.

Contact Information

Primary practice address
6020 W Parker Rd Ste 400 Plano TX 75093-7900
Fax: (972) 394-4405
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X F8786 Texas

Profile Details

NPI number 1891799169
LBN Legal business name Adelglass, Jeffrey M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2005
Last updated Mar 7th, 2008 - about 16 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 1891799169 NPPES
Texas Other 88X481 BLUE CROSS BLUE SHEILD
Texas MEDICAID 085438201 BLUE CROSS BLUE SHEILD

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