Betrus, Glenn George
Betrus, Glenn George is an individual health care provider with primary practice located at 1037 Water St Suite 1, Port Huron MI 48060-4408. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Betrus, Glenn George can be contacted via phone (810) 984-4194.Contact Information
Primary practice address
1037 Water St Suite 1
Port Huron MI 48060-4408
Phone: (810) 984-4194
Fax: (810) 984-4674
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 4301052886 | Michigan |
Profile Details
| NPI number | 1376563130 |
|---|---|
| LBN Legal business name | Betrus, Glenn George |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Jul 8th, 2008 - about 16 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 | 1376563130 | NPPES |
| Michigan | Other | 540G41006 | BLUE CROSS |
| Michigan | MEDICAID | 102916887 | BLUE CROSS |
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