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:
Health care specialties
| Specialty | Code | License # | 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 5 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 | 1932160041 | NPPES |
| Maryland | MEDICAID | 339604500 | |
| Maryland | MEDICAID | 070255600 |
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