Summers, Glendon Carl

Summers, Glendon Carl is an individual health care provider with primary practice located at Rr 2 Box 110A5 , New Milford PA 18834-9631. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Summers, Glendon Carl can be contacted via phone (570) 465-9485.

Contact Information

Primary practice address
Rr 2 Box 110A5 New Milford PA 18834-9631
Phone: (570) 465-9485
Fax: (570) 465-9485
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC006261L Pennsylvania

Profile Details

NPI number 1083690887
LBN Legal business name Summers, Glendon Carl
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
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 1083690887 NPPES
Pennsylvania Other 347742 MVP
Pennsylvania MEDICAID 01552199 MVP
Pennsylvania Other 808399 MVP
Pennsylvania Other 10068668 MVP
Pennsylvania Other 832891 MVP

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