Ross, Glenn S

Ross, Glenn S is an individual health care provider with primary practice located at 11803 Jefferson Ave Ste 140, Newport News VA 23606-2565. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ross, Glenn S can be contacted via phone (757) 594-1837.

Contact Information

Primary practice address
11803 Jefferson Ave Ste 140 Newport News VA 23606-2565
Phone: (757) 594-1837
Fax: (757) 594-1828
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101046687 Virginia

Profile Details

NPI number 1285609388
LBN Legal business name Ross, Glenn S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Jan 25th, 2012 - about 13 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 1285609388 NPPES
Virginia MEDICAID 005870828

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