Libman, Glenn Mark
Libman, Glenn Mark is an sole proprietor health care provider with primary practice located at 12449 83Rd Pl Ne , Kirkland WA 98034-2570. 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. Libman, Glenn Mark can be contacted via phone (425) 820-2810.Contact Information
Primary practice address
12449 83Rd Pl Ne
Kirkland WA 98034-2570
Phone: (425) 820-2810
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 7490 | Washington |
Profile Details
| NPI number | 1306901756 |
|---|---|
| LBN Legal business name | Libman, Glenn Mark |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306901756 | NPPES |
| Washington | Other | 7490 | PHYSICAL THERAPY LICENSE |
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