Davis, Glenn Alan
Davis, Glenn Alan is an sole proprietor health care provider with primary practice located at 1020 Mcarthur St , Manchester TN 37355-2453. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Davis, Glenn Alan can be contacted via phone (931) 728-2022.Contact Information
Primary practice address
1020 Mcarthur St
Manchester TN 37355-2453
Phone: (931) 728-2022
Fax: (931) 723-1210
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD16760 | Tennessee |
Profile Details
| NPI number | 1497757298 |
|---|---|
| LBN Legal business name | Davis, Glenn Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 11th, 2005 |
| Last updated | Jan 26th, 2015 - about 10 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 | 1497757298 | NPPES |
| Tennessee | MEDICAID | 3017354 |
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