Vanderver, Glenn Bruce Grimes
Vanderver, Glenn Bruce Grimes is an individual health care provider with primary practice located at 112 N 7Th St , Chambersburg PA 17201-1720. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Vanderver, Glenn Bruce Grimes can be contacted via phone (717) 217-4300.Contact Information
Primary practice address
112 N 7Th St
Chambersburg PA 17201-1720
Phone: (717) 217-4300
Fax: (717) 217-4217
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD447885 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | D0063178 | Maryland |
| Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine | 2083P0901X | MD447885 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD447885 | Pennsylvania |
Profile Details
| NPI number | 1083669964 |
|---|---|
| LBN Legal business name | Vanderver, Glenn Bruce Grimes |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2006 |
| Last updated | Feb 6th, 2020 - about 4 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 | 1083669964 | NPPES |
| Maryland | Other | 647682 01 | CAREFIRST BC BS |
| Maryland | MEDICAID | 102820537 | CAREFIRST BC BS |
| Maryland | MEDICAID | 3810005850 | CAREFIRST BC BS |
| Maryland | Other | J697 0007 | CAREFIRST BC BS |
| Maryland | Other | KS04 | CAREFIRST BC BS |
| Maryland | Other | P00337741 | CAREFIRST BC BS |
| Maryland | MEDICAID | 415402900 | CAREFIRST BC BS |
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