Balfour, Glenn Mark

Balfour, Glenn Mark is an sole proprietor health care provider with primary practice located at 785 Grand Ave Ste 218 , Carlsbad CA 92008-2371. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Balfour, Glenn Mark can be contacted via phone (442) 500-8851.

Contact Information

Primary practice address
785 Grand Ave Ste 218 Carlsbad CA 92008-2371
Phone: (442) 500-8851
Fax: (442) 500-8681
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine 2081P0004X A86632 California
Allopathic & Osteopathic Physicians / Neurology 2084N0400X A86632 California

Profile Details

NPI number 1104931542
LBN Legal business name Balfour, Glenn Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2006
Last updated Apr 28th, 2020 - about 4 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 1104931542 NPPES
California Other BF428Z MEDICARE PTAN

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