Glass, John Brewer
Glass, John Brewer is an individual health care provider with primary practice located at 7066 Stillwater Blvd N , Oakdale MN 55128-3937. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Glass, John Brewer can be contacted via phone (651) 777-5222.Contact Information
Primary practice address
7066 Stillwater Blvd N
Oakdale MN 55128-3937
Phone: (651) 777-5222
Fax: (651) 251-5111
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 35198 | Minnesota |
Profile Details
| NPI number | 1598793804 |
|---|---|
| LBN Legal business name | Glass, John Brewer |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2006 |
| Last updated | Aug 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598793804 | NPPES |
| Minnesota | MEDICAID | 423062100 |
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