Hastings, Glen Howard

Hastings, Glen Howard is an individual health care provider with primary practice located at 2990 Niles Rd , Saint Joseph MI 49085-8607. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Hastings, Glen Howard can be contacted via phone (269) 983-3368.

Contact Information

Primary practice address
2990 Niles Rd Saint Joseph MI 49085-8607
Fax: (269) 983-2758
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301 406148 Michigan

Profile Details

NPI number 1669439550
LBN Legal business name Hastings, Glen Howard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Apr 15th, 2014 - about 11 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 1669439550 NPPES
Michigan MEDICAID 4170368 10

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