B .Glenn Blair Dpm P.C.
LBN: B .Glenn Blair Dpm P.C.
B .Glenn Blair Dpm P.C. is an health care organization with primary practice located at 375 Bridgeport Ave , Shelton CT 06484-3844. The organization recently has 4 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Radiology, Podiatric Medicine & Surgery Service Providers / Foot Surgery, Suppliers / Durable Medical Equipment & Medical Supplies. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is the primary health care specialty.
B .Glenn Blair Dpm P.C. can be contacted via phone (203) 929-5559, or through Russell, Julie M via phone (203) 929-5559.
Contact Information
Primary practice address
375 Bridgeport Ave
Shelton CT 06484-3844
Phone: (203) 929-5559
Fax: (203) 929-5277
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | 000419 | Connecticut |
Podiatric Medicine & Surgery Service Providers / Radiology | 213ER0200X | 000419 | Connecticut |
Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 000419 | Connecticut |
Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | CT000419 | Connecticut |
Profile Details
NPI number | 1306020938 |
---|---|
LBN Legal business name | B .Glenn Blair Dpm P.C. |
DBA Doing business as | |
Authorized official | Russell, Julie M |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Dec 18th, 2007 |
Last updated | Apr 2nd, 2012 - about 12 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1306020938 | NPPES |
Connecticut | MEDICAID | 004176815 |
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