Glover, Dale Beaird
Glover, Dale Beaird is an sole proprietor health care provider with primary practice located at 1401 Foucher St Fl 5 , New Orleans LA 70115-3515. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Glover, Dale Beaird can be contacted via phone (504) 897-7999.Contact Information
Primary practice address
1401 Foucher St Fl 5
New Orleans LA 70115-3515
Phone: (504) 897-7999
Fax: (504) 897-7676
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA04743 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 200155 | Louisiana |
Profile Details
| NPI number | 1972513364 |
|---|---|
| LBN Legal business name | Glover, Dale Beaird |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 8th, 2006 |
| Last updated | Feb 28th, 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 | 1972513364 | NPPES |
| Louisiana | MEDICAID | 2131991 |
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