Glaze, Georgia P

Glaze, Georgia P is an individual health care provider with primary practice located at 1400 Hudson St , Elkhart IN 46516-2023. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Glaze, Georgia P can be contacted via phone (574) 522-0104.

Contact Information

Primary practice address
1400 Hudson St Elkhart IN 46516-2023
Fax: (574) 522-1902
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X 33002586A Indiana

Profile Details

NPI number 1356679609
LBN Legal business name Glaze, Georgia P
Credentials LSW
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2009
Last updated Nov 25th, 2009 - about 15 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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