Herman, Glenn Stewart

Herman, Glenn Stewart is an individual health care provider with primary practice located at 331 Church St , Naugatuck CT 06770-2806. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Herman, Glenn Stewart can be contacted via phone (203) 729-4047.

Contact Information

Primary practice address
331 Church St Naugatuck CT 06770-2806
Phone: (203) 729-4047
Fax: (203) 723-9103
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 708 Connecticut

Profile Details

NPI number 1093826752
LBN Legal business name Herman, Glenn Stewart
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 2007 - about 17 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 1093826752 NPPES
Connecticut MEDICAID 004092508
Connecticut Other 050000708CT01

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