Glover, Richard A

Glover, Richard A is an individual health care provider with primary practice located at 1341 Branton Blvd Ste 102, Knoxville TN 37922-8537. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Glover, Richard A can be contacted via phone (865) 690-8778.

Contact Information

Primary practice address
1341 Branton Blvd Ste 102 Knoxville TN 37922-8537
Phone: (865) 690-8778
Fax: (865) 694-7507
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD21285 Tennessee

Profile Details

NPI number 1124012513
LBN Legal business name Glover, Richard A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Oct 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124012513 NPPES
Tennessee MEDICAID Q007840
Tennessee Other 4048686

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