Mcglothlin, Jeffery C
Mcglothlin, Jeffery C is an individual health care provider with primary practice located at 1500 Cooper St , Fort Worth TX 76104-2710. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, which is considered as his primary health care specialty. Mcglothlin, Jeffery C can be contacted via phone (682) 885-2500.Contact Information
Primary practice address
1500 Cooper St
Fort Worth TX 76104-2710
Phone: (682) 885-2500
Fax: (682) 885-2510
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | H5469 | Texas |
Profile Details
| NPI number | 1104921873 |
|---|---|
| LBN Legal business name | Mcglothlin, Jeffery C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2006 |
| Last updated | Apr 2nd, 2012 - about 12 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 | 1104921873 | NPPES |
| Texas | Other | 123977 | SUPERIOR PIN |
| Texas | Other | 4397262 | SUPERIOR PIN |
| Texas | Other | 10010109 | SUPERIOR PIN |
| Texas | Other | 87V784 | SUPERIOR PIN |
| Texas | Other | 9360939 | SUPERIOR PIN |
| Texas | Other | 1750369203 | SUPERIOR PIN |
| Texas | Other | 00U87Z | SUPERIOR PIN |
| Texas | Other | 119063100 | SUPERIOR PIN |
| Texas | MEDICAID | 023247201 | SUPERIOR PIN |
| Texas | MEDICAID | 120608801 | SUPERIOR PIN |
| Texas | MEDICAID | 120608802 | SUPERIOR PIN |
| Texas | MEDICAID | 140442803 | SUPERIOR PIN |
| Texas | Other | 1436086 | SUPERIOR PIN |
| Texas | Other | 1640340 | SUPERIOR PIN |
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