Glover, Wendell

Glover, Wendell is an individual health care provider with primary practice located at 11 Professional Pkwy , Ridgeland MS 39157-4114. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Contractor, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Glover, Wendell can be contacted via phone (601) 856-2460.

Contact Information

Primary practice address
11 Professional Pkwy Ridgeland MS 39157-4114
Phone: (601) 856-2460
Fax: (601) 856-5363
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X 11734 Mississippi
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 11734 Mississippi

Profile Details

NPI number 1336535053
LBN Legal business name Glover, Wendell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2015
Last updated Oct 3rd, 2023 - about last year

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 1336535053 NPPES
Mississippi MEDICAID B2825WS4MS

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