Glosenger, Jeremiah J
Glosenger, Jeremiah J is an individual health care provider with primary practice located at 2615 Elk Dr Suite 3, Minot ND 58701-1200. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Glosenger, Jeremiah J can be contacted via phone (701) 852-3421.Contact Information
Primary practice address
2615 Elk Dr Suite 3
Minot ND 58701-1200
Phone: (701) 852-3421
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 30.022879 | Ohio |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 2093 | North Dakota |
Profile Details
| NPI number | 1750582300 |
|---|---|
| LBN Legal business name | Glosenger, Jeremiah J |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2007 |
| Last updated | Dec 21st, 2019 - about 5 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 | 1750582300 | NPPES |
| North Dakota | MEDICAID | 15919 | |
| North Dakota | MEDICAID | 41573 |
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