Saucer, Glenn J

Saucer, Glenn J is an individual health care provider with primary practice located at 1722 Pine St Suite 603, Montgomery AL 36106-1103. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Saucer, Glenn J can be contacted via phone (334) 264-2422.

Contact Information

Primary practice address
1722 Pine St Suite 603 Montgomery AL 36106-1103
Fax: (334) 264-9294
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 12568 Alabama

Profile Details

NPI number 1790770238
LBN Legal business name Saucer, Glenn J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Jun 28th, 2011 - 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 1790770238 NPPES
Alabama MEDICAID 000015771

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