Glass, Lionel

Glass, Lionel is an sole proprietor health care provider with primary practice located at 43494 Woodward Avenue Suite 103, Bloomfield Hills MI 48302-0567. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Glass, Lionel can be contacted via phone (866) 485-1399.

Contact Information

Primary practice address
43494 Woodward Avenue Suite 103 Bloomfield Hills MI 48302-0567
Phone: (866) 485-1399
Fax: (206) 333-0668
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 4301031094 Michigan

Profile Details

NPI number 1154426518
LBN Legal business name Glass, Lionel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2006
Last updated Jun 23rd, 2010 - about 15 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 1154426518 NPPES
Michigan Other 27-2558278 TAX ID
Michigan MEDICAID 103504593 TAX ID
Michigan Other 130635749 TAX ID

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