Banegura, Glenn

Banegura, Glenn is an sole proprietor health care provider with primary practice located at 400 Palmetto Health Pkwy , Columbia SC 29212-1760. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Banegura, Glenn can be contacted via phone (617) 901-6120.

Contact Information

Primary practice address
400 Palmetto Health Pkwy Columbia SC 29212-1760
Phone: (617) 901-6120
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 67897 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25734 Mississippi
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 23114 Nevada
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 334379 Louisiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 66752 Georgia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 1796320 Wisconsin
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036147581 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 34002 South Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35C.000288 Ohio
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 129782 Montana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 16816 Hawaii
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 31509 Alabama

Profile Details

NPI number 1770744989
LBN Legal business name Banegura, Glenn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2008
Last updated Nov 10th, 2023 - about 2 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 1770744989 NPPES
South Carolina MEDICAID 340027
South Carolina Other SCB3975019
South Carolina Other SCB3979068

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