Stribling, Glen H

Stribling, Glen H is an sole proprietor health care provider with primary practice located at 110 E Georgetown St , Crystal Springs MS 39059-2746. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Stribling, Glen H can be contacted via phone (601) 892-5053.

Contact Information

Primary practice address
110 E Georgetown St Crystal Springs MS 39059-2746
Phone: (601) 892-5053
Fax: (601) 892-5741
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 516 Mississippi

Profile Details

NPI number 1881685220
LBN Legal business name Stribling, Glen H
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2005
Last updated Dec 7th, 2023 - about last year

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 1881685220 NPPES
Mississippi MEDICAID 00087004
Mississippi Other 410044093

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