Haber, Glenn Robert
Haber, Glenn Robert is an sole proprietor health care provider with primary practice located at 140 Grand Ave , Englewood NJ 07631-6581. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Haber, Glenn Robert can be contacted via phone (201) 569-0212.Contact Information
Primary practice address
140 Grand Ave
Englewood NJ 07631-6581
Phone: (201) 569-0212
Fax: (201) 569-7703
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | MD01362 | New Jersey |
Profile Details
| NPI number | 1932117355 |
|---|---|
| LBN Legal business name | Haber, Glenn Robert |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Apr 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932117355 | NPPES |
| New Jersey | MEDICAID | 1012002 |
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