Glaza, Al

Glaza, Al is an individual health care provider with primary practice located at 146 Highway 274 , Lake Wylie SC 29710-6045. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Glaza, Al can be contacted via phone (803) 831-2345.

Contact Information

Primary practice address
146 Highway 274 Lake Wylie SC 29710-6045
Fax: (803) 831-2007
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1193 South Carolina

Profile Details

NPI number 1306805916
LBN Legal business name Glaza, Al
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306805916 NPPES
South Carolina MEDICAID GCH293

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