Stockbridge, Glenn Roland

Stockbridge, Glenn Roland is an sole proprietor health care provider with primary practice located at 3912 Tanglewood Lane , Odessa TX 79762-7165. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Stockbridge, Glenn Roland can be contacted via phone (432) 367-9944.

Contact Information

Primary practice address
3912 Tanglewood Lane Odessa TX 79762-7165
Phone: (432) 367-9944
Fax: (432) 368-7600
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X TX1201 Texas

Profile Details

NPI number 1881704252
LBN Legal business name Stockbridge, Glenn Roland
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated Apr 14th, 2008 - about 16 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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