Slomin, Glenn R

Slomin, Glenn R is an individual health care provider with primary practice located at 240 N Wickham Rd Suite 300, Melbourne FL 32935-8662. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Slomin, Glenn R can be contacted via phone (321) 308-5050.

Contact Information

Primary practice address
240 N Wickham Rd Suite 300 Melbourne FL 32935-8662
Fax: (321) 984-9497
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DS5906 Florida

Profile Details

NPI number 1164486783
LBN Legal business name Slomin, Glenn R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Sep 18th, 2014 - about 10 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 1164486783 NPPES
Other 080077253 RAIL ROAD MEDICARE
MEDICAID 371129300 RAIL ROAD MEDICARE

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