Glackin, Brigid Keane

Glackin, Brigid Keane is an sole proprietor health care provider with primary practice located at 780 Chestnut St Suite 14, Springfield MA 01107-1637. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Glackin, Brigid Keane can be contacted via phone (413) 788-6456.

Contact Information

Primary practice address
780 Chestnut St Suite 14 Springfield MA 01107-1637
Fax: (413) 733-4992
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 44092 Massachusetts

Profile Details

NPI number 1316936065
LBN Legal business name Glackin, Brigid Keane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2005
Last updated May 24th, 2013 - about 11 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 1316936065 NPPES
Massachusetts MEDICAID 0168343

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