Irwin, Glenn Edgar

Irwin, Glenn Edgar is an sole proprietor health care provider with primary practice located at 900 Chestnut Street Ext Ste A , Bradford PA 16701. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Adult Medicine is his primary health care specialty. Irwin, Glenn Edgar can be contacted via phone (814) 817-2870.

Contact Information

Primary practice address
900 Chestnut Street Ext Ste A Bradford PA 16701
Phone: (814) 817-2870
Fax: (814) 368-8041
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD028763E Pennsylvania
Allopathic & Osteopathic Physicians / General Practice 208D00000X MD028763E Pennsylvania
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X MD028763E Pennsylvania

Profile Details

NPI number 1093793598
LBN Legal business name Irwin, Glenn Edgar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2006
Last updated Jan 31st, 2019 - about 5 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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