O'Malley, Glen Martin
O'Malley, Glen Martin is an sole proprietor health care provider with primary practice located at 8555 W Forest Home Ave , Greenfield WI 53228-3408. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. O'Malley, Glen Martin can be contacted via phone (414) 425-4005.Contact Information
Primary practice address
8555 W Forest Home Ave
Greenfield WI 53228-3408
Phone: (414) 425-4005
Fax: (414) 529-9777
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 3802 | Wisconsin |
Profile Details
| NPI number | 1205090537 |
|---|---|
| LBN Legal business name | O'Malley, Glen Martin |
| Credentials | D.D.S., S.C. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 16th, 2008 |
| Last updated | Jul 16th, 2008 - 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.
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