Mesman, Glenn Ryan
Mesman, Glenn Ryan is an individual health care provider with primary practice located at 4301 W Markham St #783 , Little Rock AR 72205-7101. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Mesman, Glenn Ryan can be contacted via phone (501) 686-8000.Contact Information
Primary practice address
4301 W Markham St #783
Little Rock AR 72205-7101
Phone: (501) 686-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 10-14 AP-PL | Arkansas |
Profile Details
| NPI number | 1477844314 |
|---|---|
| LBN Legal business name | Mesman, Glenn Ryan |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2011 |
| Last updated | Sep 8th, 2016 - about 10 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 | 1477844314 | NPPES |
| Arkansas | MEDICAID | 189585719 |
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