Corcoran, Glen J
Corcoran, Glen J is an individual health care provider with primary practice located at 3701 Highway 59 Suite E, Mandeville LA 70471-1905. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Corcoran, Glen J can be contacted via phone (985) 871-9733.Contact Information
Primary practice address
3701 Highway 59 Suite E
Mandeville LA 70471-1905
Phone: (985) 871-9733
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 4477 | Louisiana |
Profile Details
| NPI number | 1588630198 |
|---|---|
| LBN Legal business name | Corcoran, Glen J |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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