Yocum, Glenn David

Yocum, Glenn David is an sole proprietor health care provider with primary practice located at 5407 17Th Ave Nw , Seattle WA 98107-3818. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Yocum, Glenn David can be contacted via phone (206) 784-2670.

Contact Information

Primary practice address
5407 17Th Ave Nw Seattle WA 98107-3818
Phone: (206) 784-2670
Fax: (206) 784-1590
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO00000223 Washington

Profile Details

NPI number 1174649727
LBN Legal business name Yocum, Glenn David
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2007
Last updated Sep 2nd, 2015 - about 10 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 1174649727 NPPES
Washington Other G000105970 PTAN
Washington Other 00528 PTAN
Washington Other YO0026 PTAN
Washington MEDICAID 1144401 PTAN

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