Fields, Glenn David
Fields, Glenn David is an individual health care provider with primary practice located at 100 Jackson Pike , Gallipolis OH 45631-1560. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Fields, Glenn David can be contacted via phone (740) 446-3034.Contact Information
Primary practice address
100 Jackson Pike
Gallipolis OH 45631-1560
Phone: (740) 446-3034
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | APRN.CNP.020041 | Ohio |
Profile Details
| NPI number | 1093265837 |
|---|---|
| LBN Legal business name | Fields, Glenn David |
| Credentials | ACNPC-AG |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2016 |
| Last updated | Jan 21st, 2021 - 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 | 1093265837 | NPPES |
| Ohio | MEDICAID | 0193126 |
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