Glenn, David Alexander

Glenn, David Alexander is an individual health care provider with primary practice located at 5501 Marvin Shields Blvd , Gulfport MS 39501-9007. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Glenn, David Alexander can be contacted via phone (228) 822-5061.

Contact Information

Primary practice address
5501 Marvin Shields Blvd Gulfport MS 39501-9007
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1306103551
LBN Legal business name Glenn, David Alexander
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2012
Last updated Apr 12th, 2012 - about 12 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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