Glass, Graham A

Glass, Graham A is an individual health care provider with primary practice located at 3739 Balboa St Pmb #219, San Francisco CA 94121-2605. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Glass, Graham A can be contacted via phone (415) 221-4810.

Contact Information

Primary practice address
3739 Balboa St Pmb #219 San Francisco CA 94121-2605
Phone: (415) 221-4810
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X A94613 California

Profile Details

NPI number 1881671907
LBN Legal business name Glass, Graham A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Feb 22nd, 2012 - about 12 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 1881671907 NPPES
Minnesota MEDICAID 948173700

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