Ewing, Gloryian D.
Ewing, Gloryian D. is an individual health care provider with primary practice located at 6501 Arlington Expy Bldg A , Jacksonville FL 32211-5779. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist is her primary health care specialty. Ewing, Gloryian D. can be contacted via phone (904) 649-6084.Contact Information
Primary practice address
6501 Arlington Expy Bldg A
Jacksonville FL 32211-5779
Phone: (904) 649-6084
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Licensed Practical Nurse | 164W00000X | PN 5178499 | Florida |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MA44439 | Florida |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MA102448 | Florida |
Profile Details
NPI number | 1811215858 |
---|---|
LBN Legal business name | Ewing, Gloryian D. |
Credentials | LMT, LPN |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 14th, 2010 |
Last updated | May 23rd, 2023 - about last year |
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 | 1811215858 | NPPES |
Florida | MEDICAID | A25766 |
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