Kaiser, Glen

Kaiser, Glen is an individual health care provider with primary practice located at 100 Grand St , New Britain CT 06052-2016. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Kaiser, Glen can be contacted via phone (860) 224-5011.

Contact Information

Primary practice address
100 Grand St New Britain CT 06052-2016
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 029385 Connecticut

Profile Details

NPI number 1801814082
LBN Legal business name Kaiser, Glen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Apr 12th, 2016 - about 8 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 1801814082 NPPES
Connecticut MEDICAID 1801814082

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