Johnson, Glenn M

Johnson, Glenn M is an individual health care provider with primary practice located at 2820 Canal St , New Orleans LA 70119-6302. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Johnson, Glenn M can be contacted via phone (504) 821-8158.

Contact Information

Primary practice address
2820 Canal St New Orleans LA 70119-6302
Phone: (504) 821-8158
Fax: (504) 821-8158
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 014753 Louisiana
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 014753 Louisiana

Profile Details

NPI number 1932107505
LBN Legal business name Johnson, Glenn M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Mar 6th, 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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