Glouberman, Stephen

Glouberman, Stephen is an individual health care provider with primary practice located at 9250 N 3Rd St Ste 2015 , Phoenix AZ 85020-2404. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Glouberman, Stephen can be contacted via phone (602) 279-3575.

Contact Information

Primary practice address
9250 N 3Rd St Ste 2015 Phoenix AZ 85020-2404
Phone: (602) 279-3575
Fax: (602) 279-2666
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 8891 Arizona

Profile Details

NPI number 1558363747
LBN Legal business name Glouberman, Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Feb 16th, 2017 - about 8 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 1558363747 NPPES
Arizona Other 110639 PIN NUMBER MEDICARE FOR N
Arizona MEDICAID 211300 PIN NUMBER MEDICARE FOR N

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