Davis, Glenn Alan
Davis, Glenn Alan is an individual health care provider with primary practice located at 385 Rte 24 Ste 1C, Chester NJ 07930-2918. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Davis, Glenn Alan can be contacted via phone (908) 879-6277.Contact Information
Primary practice address
385 Rte 24 Ste 1C
Chester NJ 07930-2918
Phone: (908) 879-6277
Fax: (908) 879-4464
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MA56172 | New Jersey |
Profile Details
| NPI number | 1740275858 |
|---|---|
| LBN Legal business name | Davis, Glenn Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2005 |
| Last updated | Oct 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740275858 | NPPES |
| New Jersey | MEDICAID | 5002109 |
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