Glover, Judith

Glover, Judith is an individual health care provider with primary practice located at 179 N Broad St , Norwich NY 13815-1019. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Community Health, which is considered as her primary health care specialty. Glover, Judith can be contacted via phone (607) 337-4500.

Contact Information

Primary practice address
179 N Broad St Norwich NY 13815-1019
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Community Health 363LC1500X F320035-1 New York

Profile Details

NPI number 1669548715
LBN Legal business name Glover, Judith
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Jul 9th, 2007 - about 17 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 1669548715 NPPES
New York MEDICAID 02199897

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