Thompson, Glenn William
Thompson, Glenn William is an individual health care provider with primary practice located at 1675 Providence Ave , Schenectady NY 12309. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Thompson, Glenn William can be contacted via phone (518) 377-3439.Contact Information
Primary practice address
1675 Providence Ave
Schenectady NY 12309
Phone: (518) 377-3439
Fax: (518) 377-0436
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 4301085616 | Michigan |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 251993 | New York |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 251993-1 | New York |
Profile Details
| NPI number | 1689880163 |
|---|---|
| LBN Legal business name | Thompson, Glenn William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 14th, 2007 |
| Last updated | Jul 12th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689880163 | NPPES |
| New York | Other | 685B91 | EMPIRE BCBS |
| New York | MEDICAID | 03217085 | EMPIRE BCBS |
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