Buckspan, Glenn Scott

Buckspan, Glenn Scott is an sole proprietor health care provider with primary practice located at 2204 Crestmoor Road , Nashville TN 37215. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Buckspan, Glenn Scott can be contacted via phone (615) 385-3309.

Contact Information

Primary practice address
2204 Crestmoor Road Nashville TN 37215
Phone: (615) 385-3309
Fax: (615) 385-9921
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD10053 Tennessee

Profile Details

NPI number 1619198546
LBN Legal business name Buckspan, Glenn Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2007
Last updated Jul 8th, 2007 - about 18 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 1619198546 NPPES
Tennessee MEDICAID 3191853

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