Glaze, Richard Lee

Glaze, Richard Lee is an individual health care provider with primary practice located at 2401 Village Professional Drive , Opelika AL 36801-4702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Glaze, Richard Lee can be contacted via phone (334) 749-8121.

Contact Information

Primary practice address
2401 Village Professional Drive Opelika AL 36801-4702
Phone: (334) 749-8121
Fax: (334) 749-6166
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 26042 Alabama

Profile Details

NPI number 1427190842
LBN Legal business name Glaze, Richard Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
Last updated Mar 7th, 2023 - about last year

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 1427190842 NPPES
Other 969760 AAP ID
Other 26042 AAP ID
Other 26042 AAP ID
Other 515-22780 AAP ID
Other 515-22766 AAP ID

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