Jockle, Glenn A
Jockle, Glenn A is an individual health care provider with primary practice located at 345 St. Paul Place, 7Th Floor Department Of Pathology, Baltimore MD 21202-2102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, which is considered as his primary health care specialty. Jockle, Glenn A can be contacted via phone (410) 332-6882.Contact Information
Primary practice address
345 St. Paul Place, 7Th Floor Department Of Pathology
Baltimore MD 21202-2102
Phone: (410) 332-6882
Fax: (410) 234-2558
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine | 207ZP0105X | D0026956 | Maryland |
Profile Details
| NPI number | 1548202989 |
|---|---|
| LBN Legal business name | Jockle, Glenn A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2006 |
| Last updated | Jan 4th, 2016 - about 9 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 | 1548202989 | NPPES |
| Maryland | Other | S185 / 0015 | BLUECHOICE |
| Maryland | MEDICAID | 429581100 | BLUECHOICE |
| Maryland | Other | S797 / 600433-01 | BLUECHOICE |
| Maryland | Other | KU59ST / 600433-01 | BLUECHOICE |
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