Glaude, Dennis Leo

Glaude, Dennis Leo is an individual health care provider with primary practice located at 380 Hospital Dr. Suite 410, Macon GA 31217-8014. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Glaude, Dennis Leo can be contacted via phone (706) 282-4200.

Contact Information

Primary practice address
380 Hospital Dr. Suite 410 Macon GA 31217-8014
Phone: (706) 282-4200
Fax: (706) 886-8045
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN078329 Georgia

Profile Details

NPI number 1689620536
LBN Legal business name Glaude, Dennis Leo
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Feb 7th, 2011 - about 13 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 1689620536 NPPES
Georgia Other 580628385 TRICARE
Georgia MEDICAID 000547797F TRICARE
Georgia Other P00257335 TRICARE
Georgia MEDICAID 003105057A TRICARE

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