Patton, Glen Ray
Patton, Glen Ray is an individual health care provider with primary practice located at 606 Mulberry Rd , Derby KS 67037-3532. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Patton, Glen Ray can be contacted via phone (316) 788-3787.Contact Information
Primary practice address
606 Mulberry Rd
Derby KS 67037-3532
Phone: (316) 788-3787
Fax: (316) 788-6930
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 05-19924 | Kansas |
Profile Details
| NPI number | 1922073337 |
|---|---|
| LBN Legal business name | Patton, Glen Ray |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2006 |
| Last updated | Jul 19th, 2013 - about 12 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 | 1922073337 | NPPES |
| Kansas | Other | P00099501 | RAILROAD MEDICARE |
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