Patterson, Glenn Wm

Patterson, Glenn Wm is an sole proprietor health care provider with primary practice located at 620 Forest Gln , Pompton Plains NJ 07444-1545. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Patterson, Glenn Wm can be contacted via phone (845) 589-0800.

Contact Information

Primary practice address
620 Forest Gln Pompton Plains NJ 07444-1545
Fax: (855) 316-2753
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 90051 New York

Profile Details

NPI number 1073637773
LBN Legal business name Patterson, Glenn Wm
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2007
Last updated May 29th, 2014 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073637773 NPPES
New York MEDICAID 00790354

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