Smith, Glenn

Smith, Glenn is an individual health care provider with primary practice located at 603 Medical Pkwy , Enterprise OR 97828-5124. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Smith, Glenn can be contacted via phone (541) 426-4502.

Contact Information

Primary practice address
603 Medical Pkwy Enterprise OR 97828-5124
Phone: (541) 426-4502
Fax: (541) 426-6403
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1255088340
LBN Legal business name Smith, Glenn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2022
Last updated Mar 10th, 2022 - about 3 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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