Glow, Richard J.

Glow, Richard J. is an individual health care provider with primary practice located at 14625 California St , Omaha NE 68154-1950. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Glow, Richard J. can be contacted via phone (402) 397-7777.

Contact Information

Primary practice address
14625 California St Omaha NE 68154-1950
Phone: (402) 397-7777
Fax: (402) 390-9336
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 6279 Nebraska

Profile Details

NPI number 1114979713
LBN Legal business name Glow, Richard J.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Jan 31st, 2008 - about 16 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 1114979713 NPPES
Nebraska Other 5743 BCBS OF NE
Nebraska MEDICAID 10025375700 BCBS OF NE
Nebraska Other P0036733 BCBS OF NE

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