Genest, Glenn P

Genest, Glenn P is an individual health care provider with primary practice located at 3455 Main St Suite 5, Springfield MA 01107-1147. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Genest, Glenn P can be contacted via phone (413) 733-9600.

Contact Information

Primary practice address
3455 Main St Suite 5 Springfield MA 01107-1147
Phone: (413) 733-9600
Fax: (413) 732-6534
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 219834 Massachusetts

Profile Details

NPI number 1942208525
LBN Legal business name Genest, Glenn P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Nov 8th, 2007 - about 17 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 1942208525 NPPES
Massachusetts Other GEJ27216 BLUE CROSS BLUE SHIELD
Massachusetts Other 219834J597 BLUE CROSS BLUE SHIELD
Massachusetts Other 34234 BLUE CROSS BLUE SHIELD
Massachusetts Other 468903 BLUE CROSS BLUE SHIELD
Massachusetts Other P00181345 BLUE CROSS BLUE SHIELD

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