Carlson, Glenn H
Carlson, Glenn H is an individual health care provider with primary practice located at 4235 Secor Rd , Toledo OH 43623-4231. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Carlson, Glenn H can be contacted via phone (419) 479-5556.Contact Information
Primary practice address
4235 Secor Rd
Toledo OH 43623-4231
Phone: (419) 479-5556
Fax: (419) 479-3976
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 35055995 | Ohio |
Profile Details
NPI number | 1669464558 |
---|---|
LBN Legal business name | Carlson, Glenn H |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 17th, 2005 |
Last updated | Aug 4th, 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 | 1669464558 | NPPES |
Ohio | MEDICAID | 0682060 | |
Ohio | Other | TO9121521 |
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