Glass, Jon
Glass, Jon is an individual health care provider with primary practice located at 909 Walnut St 2Nd Floor, Philadelphia PA 19107-5211. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Glass, Jon can be contacted via phone (215) 955-7000.Contact Information
Primary practice address
909 Walnut St 2Nd Floor
Philadelphia PA 19107-5211
Phone: (215) 955-7000
Fax: (215) 503-7007
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD046156 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD046156L | Pennsylvania |
Profile Details
| NPI number | 1427025626 |
|---|---|
| LBN Legal business name | Glass, Jon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2006 |
| Last updated | Jun 19th, 2019 - about 5 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 | 1427025626 | NPPES |
| Pennsylvania | MEDICAID | 0012774220007 | |
| Pennsylvania | MEDICAID | 5140501 |
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