Glass, Ericka Renee

Glass, Ericka Renee is an individual health care provider with primary practice located at 7442 Frank Ave Nw , North Canton OH 44720-7022. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Trauma. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is her primary health care specialty. Glass, Ericka Renee can be contacted via phone (330) 455-5367.

Contact Information

Primary practice address
7442 Frank Ave Nw North Canton OH 44720-7022
Phone: (330) 455-5367
Fax: (330) 455-6114
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD436024 Pennsylvania
Allopathic & Osteopathic Physicians / Orthopaedic Trauma 207XX0801X 35090407 Ohio
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 35090407 Ohio

Profile Details

NPI number 1275746570
LBN Legal business name Glass, Ericka Renee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
Last updated Sep 30th, 2020 - about 4 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 1275746570 NPPES
Ohio MEDICAID 3051914

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