Glaser, Brian A.

Glaser, Brian A. is an sole proprietor health care provider with primary practice located at 130 Wickersham Dr , Athens GA 30606-3182. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Glaser, Brian A. can be contacted via phone (706) 254-5214.

Contact Information

Primary practice address
130 Wickersham Dr Athens GA 30606-3182
Phone: (706) 254-5214
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X GA1536 Georgia

Profile Details

NPI number 1710039870
LBN Legal business name Glaser, Brian A.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2007
Last updated Jul 9th, 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 1710039870 NPPES
Georgia MEDICAID 00528657A

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