Graybeal, Glenn E

Graybeal, Glenn E is an individual health care provider with primary practice located at 1 Sussex Ave , Milford DE 19963-1853. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Graybeal, Glenn E can be contacted via phone (302) 422-3377.

Contact Information

Primary practice address
1 Sussex Ave Milford DE 19963-1853
Fax: (302) 422-9580
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X C10002212 Delaware

Profile Details

NPI number 1023016615
LBN Legal business name Graybeal, Glenn E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Oct 27th, 2011 - about 14 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 1023016615 NPPES
Delaware MEDICAID 0000049201

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