Weinraub, Glenn Michael

Weinraub, Glenn Michael is an individual health care provider with primary practice located at 2500 Merced St , San Leandro CA 94577-4201. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Weinraub, Glenn Michael can be contacted via phone (510) 454-1000.

Contact Information

Primary practice address
2500 Merced St San Leandro CA 94577-4201
Phone: (510) 454-1000
Fax: (540) 772-3785
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X E4043 California
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E4043 California

Profile Details

NPI number 1093786998
LBN Legal business name Weinraub, Glenn Michael
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Jan 4th, 2022 - about 3 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 1093786998 NPPES
Virginia MEDICAID 009304860

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