Glass, Timothy M.

Glass, Timothy M. is an sole proprietor health care provider with primary practice located at 2535 Hualapai Mountain Rd. Suite C, Kingman AZ 86401. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Glass, Timothy M. can be contacted via phone (928) 692-8300.

Contact Information

Primary practice address
2535 Hualapai Mountain Rd. Suite C Kingman AZ 86401
Fax: (928) 692-1323
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 5210 Arizona

Profile Details

NPI number 1861424475
LBN Legal business name Glass, Timothy M.
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2006
Last updated Jan 8th, 2014 - about 10 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 1861424475 NPPES
Arizona Other 350038374 RAILROAD MEDICARE
Arizona Other AZ0243170 RAILROAD MEDICARE
Arizona Other 44-00109 RAILROAD MEDICARE
Arizona Other 404963 RAILROAD MEDICARE

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