Glisson, Richard Dennis
Glisson, Richard Dennis is an individual health care provider with primary practice located at 124 Hebron Ave Ste 1B , Glastonbury CT 06033. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Glisson, Richard Dennis can be contacted via phone (860) 633-8806.Contact Information
Primary practice address
124 Hebron Ave Ste 1B
Glastonbury CT 06033
Phone: (860) 633-8806
Fax: (860) 657-3788
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 038819 | Connecticut |
Profile Details
| NPI number | 1376503003 |
|---|---|
| LBN Legal business name | Glisson, Richard Dennis |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 25th, 2006 |
| Last updated | Jul 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376503003 | NPPES |
| Connecticut | Other | 300117748 | RAILROAD MEDICARE |
| Connecticut | Other | 300117753 | RAILROAD MEDICARE |
| Connecticut | Other | 040038819CT09 | RAILROAD MEDICARE |
| Connecticut | Other | 300117769 | RAILROAD MEDICARE |
| Connecticut | MEDICAID | 001388190 | RAILROAD MEDICARE |
| Connecticut | Other | 040038819CT05 | RAILROAD MEDICARE |
| Connecticut | Other | 040038819CT02 | RAILROAD MEDICARE |
| Connecticut | Other | 040038819CT03 | RAILROAD MEDICARE |
| Connecticut | Other | 300117740 | RAILROAD MEDICARE |
| Connecticut | Other | 300117761 | RAILROAD MEDICARE |
| Connecticut | Other | 040038819CT08 | RAILROAD MEDICARE |
| Connecticut | Other | 300117757 | RAILROAD MEDICARE |
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