Kershen, Glenn Evan

Kershen, Glenn Evan is an individual health care provider with primary practice located at 1117 S Washington Ave , Saginaw MI 48601-2558. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Kershen, Glenn Evan can be contacted via phone (989) 791-4020.

Contact Information

Primary practice address
1117 S Washington Ave Saginaw MI 48601-2558
Phone: (989) 791-4020
Fax: (989) 921-8765
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X GK075761 Michigan

Profile Details

NPI number 1013900190
LBN Legal business name Kershen, Glenn Evan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Mar 30th, 2021 - about 3 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 1013900190 NPPES
Michigan Other H11966 TRI CARE
Michigan Other 340020605 TRI CARE
Michigan Other 0987964 TRI CARE
Michigan Other 340G310500 TRI CARE
Michigan Other 7792123 TRI CARE
Michigan MEDICAID 4433790 TRI CARE

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