Riley, Glen Robert

Riley, Glen Robert is an individual health care provider with primary practice located at 420 Post Ave , Louisville TN 37777-6223. He recently has only one registered license in Other Service Providers / Independent Duty Medical Technicians, which is considered as his primary health care specialty. Riley, Glen Robert can be contacted via phone (865) 985-4278.

Contact Information

Primary practice address
420 Post Ave Louisville TN 37777-6223
Phone: (865) 985-4278
Fax: (865) 985-4273
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Medical Technicians 1710I1003X

Profile Details

NPI number 1811123128
LBN Legal business name Riley, Glen Robert
Credentials IDMT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2009
Last updated Jun 2nd, 2009 - about 15 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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