Crosby, Glenn Allen

Crosby, Glenn Allen is an sole proprietor health care provider with primary practice located at 6027 Walnut Grove Rd Suite 409, Memphis TN 38120-2145. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Crosby, Glenn Allen can be contacted via phone (901) 683-4594.

Contact Information

Primary practice address
6027 Walnut Grove Rd Suite 409 Memphis TN 38120-2145
Phone: (901) 683-4594
Fax: (901) 683-0623
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 27889 Tennessee

Profile Details

NPI number 1760445241
LBN Legal business name Crosby, Glenn Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 7th, 2006
Last updated Jun 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760445241 NPPES
Mississippi Other P00048606 RR MEDICARE
Mississippi Other 4055530 RR MEDICARE
Mississippi Other P00022990 RR MEDICARE

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