Glass, Charles C

Glass, Charles C is an individual health care provider with primary practice located at 3550 S 4Th St Ste 250 , Leavenworth KS 66048-5061. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Glass, Charles C can be contacted via phone (913) 565-2569.

Contact Information

Primary practice address
3550 S 4Th St Ste 250 Leavenworth KS 66048-5061
Phone: (913) 565-2569
Fax: (913) 565-2571
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2015022139 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 15-01742 Kansas

Profile Details

NPI number 1003219304
LBN Legal business name Glass, Charles C
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2014
Last updated Jul 8th, 2021 - about 3 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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