Black, Glenn Raymond
Black, Glenn Raymond is an sole proprietor health care provider with primary practice located at 103 5Th St Se Ste S, Barberton OH 44203-4256. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Black, Glenn Raymond can be contacted via phone (330) 753-5863.Contact Information
Primary practice address
103 5Th St Se Ste S
Barberton OH 44203-4256
Phone: (330) 753-5863
Fax: (330) 753-9838
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 35.036808 | Ohio |
Profile Details
NPI number | 1700860970 |
---|---|
LBN Legal business name | Black, Glenn Raymond |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 1st, 2005 |
Last updated | Apr 2nd, 2024 - about 5 months 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 | 1700860970 | NPPES |
Ohio | Other | 107535 | KAISER |
Ohio | Other | 1786246 | KAISER |
Ohio | Other | 341397094026 | KAISER |
Ohio | Other | 000000191152 | KAISER |
Ohio | Other | 0400075 | KAISER |
Ohio | Other | 729783 | KAISER |
Ohio | Other | 4205812 | KAISER |
Ohio | MEDICAID | 0429549 | KAISER |
Ohio | Other | 1263551 | KAISER |
Ohio | Other | 59634 | KAISER |
Ohio | Other | 791063783 | KAISER |
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