Charlton, Glenn Baker
Charlton, Glenn Baker is an individual health care provider with primary practice located at 2962 E State St , Hermitage PA 16148-2757. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Charlton, Glenn Baker can be contacted via phone (724) 777-1895.Contact Information
Primary practice address
2962 E State St
Hermitage PA 16148-2757
Phone: (724) 777-1895
Fax: (724) 591-8909
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 200701478 | North Carolina |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | M5097 | Texas |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD019961E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD019961E | Pennsylvania |
Profile Details
| NPI number | 1629274956 |
|---|---|
| LBN Legal business name | Charlton, Glenn Baker |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2007 |
| Last updated | Oct 15th, 2021 - about 4 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 | 1629274956 | NPPES |
| North Carolina | Other | 146GA | BCBS OF NC |
| North Carolina | MEDICAID | 5907696 | BCBS OF NC |
| North Carolina | MEDICAID | 000549072 | BCBS OF NC |
Popular Providers
-
Crago, Matthew David
3150 Highland Rd Suite 102, Hermitage PA 16148-4516 -
Cicuto, Robert A
2213 Shenango Valley Freeway , Hermitage PA 16148 -
Kalik, Joseph Randy
295 N Kerrwood Dr Suite #101, Hermitage PA 16148-5207 -
Porter, Heather Joy
480 N Kerrwood Dr Suite 102, Hermitage PA 16148-5212 -
Thompson, Michelle
705 Brookshire Dr Ste 2 Suite 2, Hermitage PA 16148-4513 -
D'Auria, Mary Lynn
480 N Kerrwood Dr Suite 102, Hermitage PA 16148-5212 -
Budek, Allen J
295 N Kerrwood Dr Ste 110 , Hermitage PA 16148-5207 -
Armour, Thomas
102 N Keel Ridge Rd , Hermitage PA 16148-3440