Hatcher, Glen

Hatcher, Glen is an individual health care provider with primary practice located at 9455 W Russell Rd 100, Las Vegas NV 89148-5667. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Hatcher, Glen can be contacted via phone (702) 896-6043.

Contact Information

Primary practice address
9455 W Russell Rd 100 Las Vegas NV 89148-5667
Fax: (702) 896-9591
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 633 Nevada

Profile Details

NPI number 1396744983
LBN Legal business name Hatcher, Glen
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Dec 21st, 2015 - about 10 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 1396744983 NPPES
Nevada MEDICAID 0020-18787

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