King, Glen

King, Glen is an individual health care provider with primary practice located at Bldg H. 2005 Knight Lane Navy Medicine Support Command, Jacksonville FL 32212-0140. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. King, Glen can be contacted via phone (843) 228-7068.

Contact Information

Primary practice address
Bldg H. 2005 Knight Lane Navy Medicine Support Command Jacksonville FL 32212-0140
Phone: (843) 228-7068
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1902114960
LBN Legal business name King, Glen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2010
Last updated Sep 23rd, 2010 - about 15 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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