Sewell, Glen Thomas

Sewell, Glen Thomas is an individual health care provider with primary practice located at 1350 Stardust St Ste D, Reno NV 89503-4264. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Sewell, Glen Thomas can be contacted via phone (775) 746-3400.

Contact Information

Primary practice address
1350 Stardust St Ste D Reno NV 89503-4264
Phone: (775) 746-3400
Fax: (775) 746-3411
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 3580 Nevada
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X G38179 California

Profile Details

NPI number 1083618805
LBN Legal business name Sewell, Glen Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Jul 9th, 2007 - about 17 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 1083618805 NPPES
Nevada Other XPY068120 MEDICAL

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