Glaseroff, Alan Martin
Glaseroff, Alan Martin is an individual health care provider with primary practice located at 1318 H St , Arcata CA 95521-5837. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Glaseroff, Alan Martin can be contacted via phone (707) 822-7041.Contact Information
Primary practice address
1318 H St
Arcata CA 95521-5837
Phone: (707) 822-7041
Fax: (708) 822-0655
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G40866 | California |
Profile Details
| NPI number | 1760569396 |
|---|---|
| LBN Legal business name | Glaseroff, Alan Martin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Nov 2nd, 2011 - about 13 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 | 1760569396 | NPPES |
| California | MEDICAID | 00G408660 | |
| California | Other | G40866 |
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