Glenn, Martha Jane
Glenn, Martha Jane is an individual health care provider with primary practice located at 1950 Circle Of Hope Dr , Salt Lake City UT 84112-5500. She recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as her primary health care specialty. Glenn, Martha Jane can be contacted via phone (801) 213-3800.Contact Information
Primary practice address
1950 Circle Of Hope Dr
Salt Lake City UT 84112-5500
Phone: (801) 213-3800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 345070-1205 | Utah |
Profile Details
| NPI number | 1104916709 |
|---|---|
| LBN Legal business name | Glenn, Martha Jane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2006 |
| Last updated | Sep 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104916709 | NPPES |
| Utah | Other | P01008562 | RAILROAD MEDICARE |
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