Lyda, Glenn B
Lyda, Glenn B is an sole proprietor health care provider with primary practice located at 3305 16Th Ave Se Suite 101, Conover NC 28613-9213. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist is his primary health care specialty. Lyda, Glenn B can be contacted via phone (828) 994-4808.Contact Information
Primary practice address
3305 16Th Ave Se Suite 101
Conover NC 28613-9213
Phone: (828) 994-4808
Fax: (828) 994-4809
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist | 222Z00000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist | 224P00000X |
Profile Details
| NPI number | 1962557439 |
|---|---|
| LBN Legal business name | Lyda, Glenn B |
| Credentials | CPO |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 24th, 2007 |
| Last updated | Jun 7th, 2016 - about 9 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 | 1962557439 | NPPES |
| North Carolina | MEDICAID | 7795183 |
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