Lowery, Glen David
Lowery, Glen David is an sole proprietor health care provider with primary practice located at 2039 Indian Rocks Rd S , Largo FL 33774-1035. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Lowery, Glen David can be contacted via phone (727) 584-7666.Contact Information
Primary practice address
2039 Indian Rocks Rd S
Largo FL 33774-1035
Phone: (727) 584-7666
Fax: (727) 586-1386
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | OS4038 | Florida |
Profile Details
| NPI number | 1942204326 |
|---|---|
| LBN Legal business name | Lowery, Glen David |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2005 |
| Last updated | Jul 7th, 2009 - about 16 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 | 1942204326 | NPPES |
| Florida | MEDICAID | 067548200 |
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