Hermann, Glenn Howard
Hermann, Glenn Howard is an sole proprietor health care provider with primary practice located at 3416 Virginia Ave Suite #3, Collinsville VA 24078-2240. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Hermann, Glenn Howard can be contacted via phone (276) 747-4488.Contact Information
Primary practice address
3416 Virginia Ave Suite #3
Collinsville VA 24078-2240
Phone: (276) 747-4488
Fax: (276) 647-7569
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0618000497 | Virginia |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 0618000497 | Virginia |
Profile Details
| NPI number | 1093750317 |
|---|---|
| LBN Legal business name | Hermann, Glenn Howard |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 19th, 2006 |
| Last updated | Nov 4th, 2016 - about 8 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 | 1093750317 | NPPES |
| Virginia | MEDICAID | 009231854 | |
| Virginia | Other | 541741479 | |
| Virginia | MEDICAID | 541741479 | |
| Virginia | Other | 910899 | |
| Virginia | Other | 541741479 | |
| Virginia | Other | 040437 | |
| Virginia | Other | 541741479 | |
| Virginia | Other | 541741479 | |
| Virginia | Other | 541741479 | |
| Virginia | Other | 450168 | |
| Virginia | Other | 541741479 | |
| Virginia | Other | 541741479 | |
| Virginia | Other | 541741479 | |
| Virginia | Other | 5674 | |
| Virginia | Other | 541741479 | |
| Virginia | Other | 9615238 |
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