Korenko, Glenn M

Korenko, Glenn M is an individual health care provider with primary practice located at 11550 Olde Stone Ct , Concord Twp OH 44077-8933. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Korenko, Glenn M can be contacted via phone (440) 639-1123.

Contact Information

Primary practice address
11550 Olde Stone Ct Concord Twp OH 44077-8933
Phone: (440) 639-1123
Fax: (440) 639-1708
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2012 Ohio

Profile Details

NPI number 1437121167
LBN Legal business name Korenko, Glenn M
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated May 27th, 2009 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1437121167 NPPES
Ohio MEDICAID 2534234

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