Richard, Glenn

Richard, Glenn is an sole proprietor health care provider with primary practice located at 22 S Greene St, Dept Of Radiology , Baltimore MD 21201-1544. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Richard, Glenn can be contacted via phone (410) 328-3477.

Contact Information

Primary practice address
22 S Greene St, Dept Of Radiology Baltimore MD 21201-1544
Phone: (410) 328-3477
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X H0071490 Maryland

Profile Details

NPI number 1932160041
LBN Legal business name Richard, Glenn
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 29th, 2006
Last updated Apr 26th, 2019 - about 6 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 1932160041 NPPES
Maryland MEDICAID 339604500
Maryland MEDICAID 070255600

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