Le-Bert, George Glenn

Le-Bert, George Glenn is an individual health care provider with primary practice located at 1340 S 18Th St Ste 202 Credentialing Department, Fernandina Beach FL 32034-4733. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Le-Bert, George Glenn can be contacted via phone (904) 261-9786.

Contact Information

Primary practice address
1340 S 18Th St Ste 202 Credentialing Department Fernandina Beach FL 32034-4733
Phone: (904) 261-9786
Fax: (904) 261-6567
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X OS10063 Florida
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X OS10063 Florida

Profile Details

NPI number 1033318928
LBN Legal business name Le-Bert, George Glenn
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2007
Last updated Nov 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033318928 NPPES
Florida Other P00944481 RAILROAD MEDICARE
Florida MEDICAID 000794000 RAILROAD MEDICARE

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