Wilson, Glenn
Wilson, Glenn is an individual health care provider with primary practice located at 280 David L Goldfein St Bldg 23 , Holloman Afb NM 88330-8273. He recently has only one registered license in Other Service Providers / Independent Duty Medical Technicians, which is considered as his primary health care specialty. Wilson, Glenn can be contacted via phone (707) 424-5107.Contact Information
Primary practice address
280 David L Goldfein St Bldg 23
Holloman Afb NM 88330-8273
Phone: (707) 424-5107
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Medical Technicians | 1710I1003X |
Profile Details
| NPI number | 1720401789 |
|---|---|
| LBN Legal business name | Wilson, Glenn |
| Credentials | IDMT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 28th, 2014 |
| Last updated | Mar 29th, 2024 - about 8 months 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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