Wilson, Glenn L
Wilson, Glenn L is an sole proprietor health care provider with primary practice located at 100 Medical Center Dr. Suite 101, Gadsden AL 35903-1130. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Wilson, Glenn L can be contacted via phone (256) 492-8590.Contact Information
Primary practice address
100 Medical Center Dr. Suite 101
Gadsden AL 35903-1130
Phone: (256) 492-8590
Fax: (256) 492-4498
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | MD28405 | Alabama |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 28405 | North Carolina |
Profile Details
NPI number | 1750479754 |
---|---|
LBN Legal business name | Wilson, Glenn L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 11th, 2006 |
Last updated | Jul 19th, 2023 - about last year |
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 | 1750479754 | NPPES |
Alabama | MEDICAID | 131368 |
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