Mcphillips, Glenn Stephen
Mcphillips, Glenn Stephen is an individual health care provider with primary practice located at 6 Office Park Cir , Selma AL 36701-6506. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Mcphillips, Glenn Stephen can be contacted via phone (334) 872-5636.Contact Information
Primary practice address
6 Office Park Cir
Selma AL 36701-6506
Phone: (334) 872-5636
Fax: (334) 872-5199
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 248 | Alabama |
Profile Details
NPI number | 1104821222 |
---|---|
LBN Legal business name | Mcphillips, Glenn Stephen |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 15th, 2005 |
Last updated | Oct 26th, 2011 - about 13 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 | 1104821222 | NPPES |
Alabama | MEDICAID | MC051552783 |
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