Glazier, Kenneth

Glazier, Kenneth is an individual health care provider with primary practice located at 477 Lakehurst Rd , Toms River NJ 08755-6342. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Glazier, Kenneth can be contacted via phone (732) 349-4422.

Contact Information

Primary practice address
477 Lakehurst Rd Toms River NJ 08755-6342
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 25MA07182400 New Jersey

Profile Details

NPI number 1245296243
LBN Legal business name Glazier, Kenneth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jul 17th, 2008 - 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 1245296243 NPPES
New Jersey MEDICAID 8993106

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