Bedsole, Glenn David
Bedsole, Glenn David is an sole proprietor health care provider with primary practice located at 1801 Pine St , Montgomery AL 36106-0165. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Bedsole, Glenn David can be contacted via phone (334) 293-8138.Contact Information
Primary practice address
1801 Pine St
Montgomery AL 36106-0165
Phone: (334) 293-8138
Fax: (334) 293-8134
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 7601 | Alabama |
Profile Details
| NPI number | 1699755975 |
|---|---|
| LBN Legal business name | Bedsole, Glenn David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 20th, 2006 |
| Last updated | May 6th, 2015 - about 9 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 | 1699755975 | NPPES |
| Alabama | Other | 630979663 | CHAMPUS/TRICARE |
| Alabama | Other | 630979663 | CHAMPUS/TRICARE |
| Alabama | Other | 51018188 | CHAMPUS/TRICARE |
| Alabama | MEDICAID | 000018188 | CHAMPUS/TRICARE |
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