Glenn-Madden, Constance N

Glenn-Madden, Constance N is an sole proprietor health care provider with primary practice located at 2250 Marietta Blvd , Atlanta GA 30318. She recently has only one registered license in Other Service Providers / Prosthetics Case Management, which is considered as her primary health care specialty. Glenn-Madden, Constance N can be contacted via phone (470) 723-2943.

Contact Information

Primary practice address
2250 Marietta Blvd Atlanta GA 30318
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prosthetics Case Management 1744P3200X CO119189 Georgia

Profile Details

NPI number 1154909463
LBN Legal business name Glenn-Madden, Constance N
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2021
Last updated Mar 30th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154909463 NPPES
Georgia Other CO119189 SPECIALIST

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