Macdonald, Glenn John
Macdonald, Glenn John is an sole proprietor health care provider with primary practice located at 26 Davison Ave , Oceanside NY 11572-2237. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Macdonald, Glenn John can be contacted via phone (516) 764-7319.Contact Information
Primary practice address
26 Davison Ave
Oceanside NY 11572-2237
Phone: (516) 764-7319
Fax: (561) 764-0804
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 158506 | New York |
Profile Details
| NPI number | 1437252665 |
|---|---|
| LBN Legal business name | Macdonald, Glenn John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 6th, 2006 |
| Last updated | May 23rd, 2022 - about 2 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 | 1437252665 | NPPES |
| New York | Other | 15856 | LICENSE |
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