Vitale, Glenn Charles

Vitale, Glenn Charles is an individual health care provider with primary practice located at 385 Main St Suite 10, West Haven CT 06516-4312. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Vitale, Glenn Charles can be contacted via phone (203) 933-8606.

Contact Information

Primary practice address
385 Main St Suite 10 West Haven CT 06516-4312
Phone: (203) 933-8606
Fax: (203) 932-9571
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X P00345 Connecticut

Profile Details

NPI number 1730189556
LBN Legal business name Vitale, Glenn Charles
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
Last updated Nov 20th, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730189556 NPPES
Connecticut MEDICAID 004060828

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