Glenn, Ronald Edward

Glenn, Ronald Edward is an individual health care provider with primary practice located at 4230 Harding Pike Ste 1000 , Nashville TN 37205-2098. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Glenn, Ronald Edward can be contacted via phone (615) 383-2693.

Contact Information

Primary practice address
4230 Harding Pike Ste 1000 Nashville TN 37205-2098
Fax: (615) 297-1449
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X MD39998 Tennessee

Profile Details

NPI number 1417949637
LBN Legal business name Glenn, Ronald Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Oct 12th, 2023 - about last year

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 1417949637 NPPES
Tennessee MEDICAID 3330672

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