Glass, Richard Edwin
Glass, Richard Edwin is an sole proprietor health care provider with primary practice located at 236 E Westfield Ave , Roselle Park NJ 07204-2084. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Glass, Richard Edwin can be contacted via phone (908) 245-8844.Contact Information
Primary practice address
236 E Westfield Ave
Roselle Park NJ 07204-2084
Phone: (908) 245-8844
Fax: (908) 245-6230
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | MCO2870 | New Jersey |
Profile Details
| NPI number | 1619026598 |
|---|---|
| LBN Legal business name | Glass, Richard Edwin |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1619026598 | NPPES |
| New Jersey | MEDICAID | 1096001 |
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