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
Fax: (334) 872-5199
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104821222 NPPES
Alabama MEDICAID MC051552783

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