Gleason, Paul John
Gleason, Paul John is an individual health care provider with primary practice located at 375 E Virginia Ave Suite B, Phoenix AZ 85004-1220. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Gleason, Paul John can be contacted via phone (602) 264-5323.Contact Information
Primary practice address
375 E Virginia Ave Suite B
Phoenix AZ 85004-1220
Phone: (602) 264-5323
Fax: (602) 264-5302
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 0656 | Arizona |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports | 2251S0007X | 0656 | Arizona |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 0656 | Arizona |
Profile Details
NPI number | 1649247651 |
---|---|
LBN Legal business name | Gleason, Paul John |
Credentials | Physical Therapist (PT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 8th, 2006 |
Last updated | Nov 27th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1649247651 | NPPES |
Arizona | MEDICAID | 781387 |
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