Glasser, Jack

Glasser, Jack is an individual health care provider with primary practice located at 1325 Andrea St Suite 100, Bowling Green KY 42104-5852. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Glasser, Jack can be contacted via phone (270) 901-3454.

Contact Information

Primary practice address
1325 Andrea St Suite 100 Bowling Green KY 42104-5852
Phone: (270) 901-3454
Fax: (270) 901-3458
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 19937 Kentucky

Profile Details

NPI number 1760488191
LBN Legal business name Glasser, Jack
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Oct 10th, 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 1760488191 NPPES
Kentucky MEDICAID 64199375
Kentucky Other 080155383
Kentucky Other 50006908
Kentucky Other 000000065732

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