Glickman, Joel D
Glickman, Joel D is an individual health care provider with primary practice located at 3400 Civic Center Blvd 1St Floor, Suite 300 S, Philadelphia PA 19104-4306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Glickman, Joel D can be contacted via phone (215) 662-2638.Contact Information
Primary practice address
3400 Civic Center Blvd 1St Floor, Suite 300 S
Philadelphia PA 19104-4306
Phone: (215) 662-2638
Fax: (215) 349-5703
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 044118L | Pennsylvania |
Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | MD044118L | Pennsylvania |
Profile Details
NPI number | 1124027727 |
---|---|
LBN Legal business name | Glickman, Joel D |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 18th, 2005 |
Last updated | Sep 2nd, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1124027727 | NPPES |
Other | 670719 | BLUE CROSS/BLUE SHIELD | |
MEDICAID | 0000125516705 | BLUE CROSS/BLUE SHIELD |
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