Pompey, Glendora G
Pompey, Glendora G is an individual health care provider with primary practice located at 4401 W Western Ave Ste C , South Bend IN 46619-2645. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Pompey, Glendora G can be contacted via phone (574) 725-7006.Contact Information
Primary practice address
4401 W Western Ave Ste C
South Bend IN 46619-2645
Phone: (574) 725-7006
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01089788A | Indiana |
Profile Details
| NPI number | 1881661213 |
|---|---|
| LBN Legal business name | Pompey, Glendora G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 3rd, 2006 |
| Last updated | May 11th, 2023 - about last year |
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 | 1881661213 | NPPES |
| Michigan | MEDICAID | 3284829 10 | |
| Michigan | Other | P00351062 |
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