Glenn, Jeffrey C.

Glenn, Jeffrey C. is an individual health care provider with primary practice located at 146 Sw Orthopedic Ct , Lake City FL 32024-0672. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Glenn, Jeffrey C. can be contacted via phone (386) 755-9215.

Contact Information

Primary practice address
146 Sw Orthopedic Ct Lake City FL 32024-0672
Phone: (386) 755-9215
Fax: (386) 755-6469
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X OS8018 Florida

Profile Details

NPI number 1760464168
LBN Legal business name Glenn, Jeffrey C.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2005
Last updated Feb 19th, 2015 - about 9 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 1760464168 NPPES
Michigan MEDICAID 114984483
Michigan MEDICAID 2102352

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