Smith, Glen Michael
Smith, Glen Michael is an individual health care provider with primary practice located at 2200 4Th St , Baker City OR 97814-2615. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Smith, Glen Michael can be contacted via phone (541) 523-3646.Contact Information
Primary practice address
2200 4Th St
Baker City OR 97814-2615
Phone: (541) 523-3646
Fax: (541) 523-7602
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1851944565 |
|---|---|
| LBN Legal business name | Smith, Glen Michael |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2019 |
| Last updated | Jul 22nd, 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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