Donnelly, Glenn

Donnelly, Glenn is an individual health care provider with primary practice located at 1381 S Patrick Dr , Patrick Afb FL 32925-3606. He recently has only one registered license in Allopathic & Osteopathic Physicians / Aerospace Medicine, which is considered as his primary health care specialty. Donnelly, Glenn can be contacted via phone (318) 828-3856.

Contact Information

Primary practice address
1381 S Patrick Dr Patrick Afb FL 32925-3606
Phone: (318) 828-3856
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Aerospace Medicine 2083A0100X L6867 Texas

Profile Details

NPI number 1730169400
LBN Legal business name Donnelly, Glenn
Credentials D.O., MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Nov 15th, 2012 - about 12 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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