Portwood, Glen Loy
Portwood, Glen Loy is an sole proprietor health care provider with primary practice located at 101 E Wt Harris Blvd Ste 3111 , Charlotte NC 28262-7002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Portwood, Glen Loy can be contacted via phone (704) 547-8818.Contact Information
Primary practice address
101 E Wt Harris Blvd Ste 3111
Charlotte NC 28262-7002
Phone: (704) 547-8818
Fax: (704) 547-9865
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 9300570 | North Carolina |
Profile Details
| NPI number | 1316965726 |
|---|---|
| LBN Legal business name | Portwood, Glen Loy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2006 |
| Last updated | May 4th, 2017 - about 7 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 | 1316965726 | NPPES |
| North Carolina | MEDICAID | 5901259 |
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