Jung, Glenn E
Jung, Glenn E is an individual health care provider with primary practice located at 2001 Laurel Ave Suite N304, Knoxville TN 37916-1810. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Body Imaging. Allopathic & Osteopathic Physicians / Body Imaging is his primary health care specialty. Jung, Glenn E can be contacted via phone (865) 546-9484.Contact Information
Primary practice address
2001 Laurel Ave Suite N304
Knoxville TN 37916-1810
Phone: (865) 546-9484
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 26858 | Tennessee |
Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | MD26858 | Tennessee |
Profile Details
NPI number | 1548240138 |
---|---|
LBN Legal business name | Jung, Glenn E |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 19th, 2006 |
Last updated | Apr 5th, 2023 - about last year |
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 | 1548240138 | NPPES |
Tennessee | MEDICAID | 3372353 |
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