Bair, Glen R
Bair, Glen R is an individual health care provider with primary practice located at 690 N Cofco Center Ct Ste 290, Phoenix AZ 85008-6474. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Bair, Glen R can be contacted via phone (602) 631-3161.Contact Information
Primary practice address
690 N Cofco Center Ct Ste 290
Phoenix AZ 85008-6474
Phone: (602) 631-3161
Fax: (602) 631-3162
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 8968 | Arizona |
Profile Details
| NPI number | 1417907114 |
|---|---|
| LBN Legal business name | Bair, Glen R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Nov 21st, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417907114 | NPPES |
| Arizona | MEDICAID | 204488 | |
| Arizona | Other | 3Z3921 |
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