Glenn, Jacob Alan

Glenn, Jacob Alan is an sole proprietor health care provider with primary practice located at 555 N Main St , Canton IL 61520-1829. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Glenn, Jacob Alan can be contacted via phone (309) 647-7610.

Contact Information

Primary practice address
555 N Main St Canton IL 61520-1829
Phone: (309) 647-7610
Fax: (309) 647-1588
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 051291476 Illinois

Profile Details

NPI number 1861775108
LBN Legal business name Glenn, Jacob Alan
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2011
Last updated Dec 17th, 2022 - about 3 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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