Bryant, Glen Edward
Bryant, Glen Edward is an sole proprietor health care provider with primary practice located at 303 W Polk Suite A, West Memphis AR 72301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Bryant, Glen Edward can be contacted via phone (870) 732-2100.Contact Information
Primary practice address
303 W Polk Suite A
West Memphis AR 72301
Phone: (870) 732-2100
Fax: (870) 732-3027
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | C5746 | Arkansas |
Profile Details
| NPI number | 1699700864 |
|---|---|
| LBN Legal business name | Bryant, Glen Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2006 |
| Last updated | Dec 19th, 2014 - about 11 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 | 1699700864 | NPPES |
| Arkansas | MEDICAID | 102003001 |
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