Martin, Glenn William
Martin, Glenn William is an sole proprietor health care provider with primary practice located at 2700 Farmington Ave , Farmington NM 87401-4559. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Martin, Glenn William can be contacted via phone (505) 325-1100.Contact Information
Primary practice address
2700 Farmington Ave
Farmington NM 87401-4559
Phone: (505) 325-1100
Fax: (505) 325-5044
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 77 PA 005 NM | New Mexico |
Profile Details
| NPI number | 1972692184 |
|---|---|
| LBN Legal business name | Martin, Glenn William |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 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.
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