Miner, Glenn J.
Miner, Glenn J. is an individual health care provider with primary practice located at 1016 N 32Nd St Ste. 2, Phoenix AZ 85008-5107. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Miner, Glenn J. can be contacted via phone (602) 267-7573.Contact Information
Primary practice address
1016 N 32Nd St Ste. 2
Phoenix AZ 85008-5107
Phone: (602) 267-7573
Fax: (602) 267-7595
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 491 | Arizona |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 491 | Arizona |
Profile Details
| NPI number | 1649200270 |
|---|---|
| LBN Legal business name | Miner, Glenn J. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1649200270 | NPPES |
| Arizona | Other | 20189547 | TPIN |
| Arizona | Other | EGNU52050 | TPIN |
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