Nelson, Glenn
Nelson, Glenn is an individual health care provider with primary practice located at 100 Memorial Hospital Dr Ste 1D, Mobile AL 36608-1194. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Nelson, Glenn can be contacted via phone (251) 342-0030.Contact Information
Primary practice address
100 Memorial Hospital Dr Ste 1D
Mobile AL 36608-1194
Phone: (251) 342-0030
Fax: (251) 380-0065
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 12814 | Alabama |
Profile Details
| NPI number | 1891776449 |
|---|---|
| LBN Legal business name | Nelson, Glenn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2005 |
| Last updated | Jul 15th, 2021 - about 4 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 | 1891776449 | NPPES |
| Alabama | MEDICAID | 009939527 | |
| Alabama | MEDICAID | 000082122 | |
| Alabama | MEDICAID | 009912316 |
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