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
Phone: (269) 226-6933
Fax: (269) 226-6949
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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