Izor, Glenn Edward

Izor, Glenn Edward is an sole proprietor health care provider with primary practice located at 7235 Sawmill Rd Suite 101, Dublin OH 43016-5003. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Izor, Glenn Edward can be contacted via phone (614) 764-8780.

Contact Information

Primary practice address
7235 Sawmill Rd Suite 101 Dublin OH 43016-5003
Fax: (614) 764-7415
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 794 Ohio

Profile Details

NPI number 1629071568
LBN Legal business name Izor, Glenn Edward
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2005
Last updated Jun 24th, 2013 - 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 1629071568 NPPES
Ohio Other 310974498-00 WORKER'S COMPENSATION
Ohio Other P00198927 WORKER'S COMPENSATION
Ohio MEDICAID 0580894 WORKER'S COMPENSATION

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