Brien, Glenn Anthony

Brien, Glenn Anthony is an individual health care provider with primary practice located at 104 Burney Dr , Flowood MS 39232-6621. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Brien, Glenn Anthony can be contacted via phone (601) 987-8200.

Contact Information

Primary practice address
104 Burney Dr Flowood MS 39232-6621
Phone: (601) 987-8200
Fax: (601) 987-8211
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X M9881 Texas

Profile Details

NPI number 1760627996
LBN Legal business name Brien, Glenn Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2008
Last updated Sep 8th, 2019 - about 6 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 1760627996 NPPES
Mississippi MEDICAID 06508393

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