Ekblad, Glenn

Ekblad, Glenn is an individual health care provider with primary practice located at 1535 Gull Rd Msb 015, Kalamazoo MI 49048-1650. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Ekblad, Glenn can be contacted via phone (269) 226-6933.

Contact Information

Primary practice address
1535 Gull Rd Msb 015 Kalamazoo MI 49048-1650
Fax: (269) 226-6949
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 5101007963 Michigan

Profile Details

NPI number 1427009646
LBN Legal business name Ekblad, Glenn
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Oct 30th, 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 1427009646 NPPES
Michigan MEDICAID 2703663
Michigan Other 700G560080
Michigan Other EG007963
Michigan MEDICAID 2673680-11
Michigan MEDICAID 112703663
Michigan MEDICAID 114694447

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