Glavan, Dennis R.
Glavan, Dennis R. is an individual health care provider with primary practice located at 714 Calle Don Diego , Espanola NM 87532-3414. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Glavan, Dennis R. can be contacted via phone (505) 367-3342.Contact Information
Primary practice address
714 Calle Don Diego
Espanola NM 87532-3414
Phone: (505) 367-3342
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I-0895 | New Mexico |
Profile Details
| NPI number | 1215056312 |
|---|---|
| LBN Legal business name | Glavan, Dennis R. |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1215056312 | NPPES |
| New Mexico | MEDICAID | 97282 |
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