York, Glenn Patrick

York, Glenn Patrick is an sole proprietor health care provider with primary practice located at 6069 Maple St , Omaha NE 68104-4050. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. York, Glenn Patrick can be contacted via phone (402) 558-8100.

Contact Information

Primary practice address
6069 Maple St Omaha NE 68104-4050
Phone: (402) 558-8100
Fax: (402) 556-6998
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 215 Nebraska

Profile Details

NPI number 1669455184
LBN Legal business name York, Glenn Patrick
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2005
Last updated Feb 20th, 2009 - about 16 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 1669455184 NPPES
Nebraska MEDICAID 470773888 00
Nebraska MEDICAID 0903948

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