Delong, Glenn A

Delong, Glenn A is an sole proprietor health care provider with primary practice located at 1000 Harrington Blvd , Mt Clemens MI 48043. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Delong, Glenn A can be contacted via phone (586) 493-8000.

Contact Information

Primary practice address
1000 Harrington Blvd Mt Clemens MI 48043
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 51010103414 Michigan

Profile Details

NPI number 1013953298
LBN Legal business name Delong, Glenn A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2006
Last updated May 16th, 2008 - about 16 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 1013953298 NPPES
Michigan MEDICAID 112877321
Michigan Other 0155025145

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