Glines, Eric L

Glines, Eric L is an individual health care provider with primary practice located at 4015 Gateway Blvd Ste 2120 , Newburgh IN 47630-9460. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Glines, Eric L can be contacted via phone (812) 464-0521.

Contact Information

Primary practice address
4015 Gateway Blvd Ste 2120 Newburgh IN 47630-9460
Phone: (812) 464-0521
Fax: (812) 464-0565
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 28144999A Indiana

Profile Details

NPI number 1568630127
LBN Legal business name Glines, Eric L
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2008
Last updated Jul 3rd, 2018 - about 6 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 1568630127 NPPES
Other 000000559731 ANTHEM
MEDICAID 200911350 ANTHEM

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