Soto, Glenn

Soto, Glenn is an individual health care provider with primary practice located at 290 I O O F Ave , Gilroy CA 95020-5204. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Soto, Glenn can be contacted via phone (408) 846-2100.

Contact Information

Primary practice address
290 I O O F Ave Gilroy CA 95020-5204
Phone: (408) 846-2100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1609943034
LBN Legal business name Soto, Glenn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609943034 NPPES
California Other XDM432A68394 BLUE CROSS HMO MEMBER ID

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