Shook, Glen D
Shook, Glen D is an individual health care provider with primary practice located at 12401 Washington Blvd , Whittier CA 90602-1006. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Shook, Glen D can be contacted via phone (562) 698-0811.Contact Information
Primary practice address
12401 Washington Blvd
Whittier CA 90602-1006
Phone: (562) 698-0811
Fax: (818) 587-2493
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | G73240 | California |
Profile Details
| NPI number | 1194767814 |
|---|---|
| LBN Legal business name | Shook, Glen D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2006 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194767814 | NPPES |
| California | Other | 00G732400 | BLUE SHIELD |
| California | MEDICAID | 00G732400 | BLUE SHIELD |
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