Digwood, Glen David
Digwood, Glen David is an individual health care provider with primary practice located at 1800 Mulberry St , Scranton PA 18510-2369. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Digwood, Glen David can be contacted via phone (570) 703-8231.Contact Information
Primary practice address
1800 Mulberry St
Scranton PA 18510-2369
Phone: (570) 703-8231
Fax: (570) 703-8250
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | OT011552 | Pennsylvania |
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | OS015150 | Pennsylvania |
Profile Details
NPI number | 1043451354 |
---|---|
LBN Legal business name | Digwood, Glen David |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 16th, 2009 |
Last updated | Aug 7th, 2020 - about 4 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 | 1043451354 | NPPES |
Pennsylvania | MEDICAID | 1024860450001 |
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