Scanes, Glenn Wilbur

Scanes, Glenn Wilbur is an sole proprietor health care provider with primary practice located at 1823 Business Park Blvd , Daytona Beach FL 32114-1230. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Scanes, Glenn Wilbur can be contacted via phone (386) 255-5818.

Contact Information

Primary practice address
1823 Business Park Blvd Daytona Beach FL 32114-1230
Phone: (386) 255-5818
Fax: (386) 255-5818
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1720646094
LBN Legal business name Scanes, Glenn Wilbur
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2019
Last updated Jun 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720646094 NPPES
Florida MEDICAID SOJXQXJM6

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