Morris, Glenn F

Morris, Glenn F is an individual health care provider with primary practice located at 4290 Lakeland Drive, Ste A , Flowood MS 39232. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Morris, Glenn F can be contacted via phone (601) 932-0083.

Contact Information

Primary practice address
4290 Lakeland Drive, Ste A Flowood MS 39232
Fax: (601) 932-8124
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 7038 Mississippi

Profile Details

NPI number 1881789485
LBN Legal business name Morris, Glenn F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jul 8th, 2007 - about 19 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 1881789485 NPPES
Mississippi MEDICAID 00120125

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