Depke, Glen

Depke, Glen is an individual health care provider with primary practice located at 1300 Quail St Suite 106, Newport Beach CA 92660-2729. He recently has only one registered license in Other Service Providers / Health Educator, which is considered as his primary health care specialty. Depke, Glen can be contacted via phone (949) 954-6226.

Contact Information

Primary practice address
1300 Quail St Suite 106 Newport Beach CA 92660-2729
Phone: (949) 954-6226
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X

Profile Details

NPI number 1164969135
LBN Legal business name Depke, Glen
Credentials BS, ND
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2017
Last updated Jan 27th, 2017 - about 8 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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