Rising, David Glenn
Rising, David Glenn is an sole proprietor health care provider with primary practice located at 1205 River Ave Fl 2 , Williamsport PA 17701-3724. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Rising, David Glenn can be contacted via phone (570) 326-4118.Contact Information
Primary practice address
1205 River Ave Fl 2
Williamsport PA 17701-3724
Phone: (570) 326-4118
Fax: (570) 326-5533
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PS007680L | Pennsylvania |
Profile Details
| NPI number | 1114997996 |
|---|---|
| LBN Legal business name | Rising, David Glenn |
| Credentials | ED.D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Dec 5th, 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 | 1114997996 | NPPES |
| Pennsylvania | MEDICAID | 1034368990001 | |
| Pennsylvania | Other | 6E5001 |
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