Archibald, Glenn O
Archibald, Glenn O is an individual health care provider with primary practice located at 801 Noble St Ste 400 , Anniston AL 36201-5698. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Archibald, Glenn O can be contacted via phone (256) 294-1727.Contact Information
Primary practice address
801 Noble St Ste 400
Anniston AL 36201-5698
Phone: (256) 294-1727
Fax: (205) 448-1187
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 16043 | Alabama |
Profile Details
| NPI number | 1316947450 |
|---|---|
| LBN Legal business name | Archibald, Glenn O |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2005 |
| Last updated | Jul 13th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316947450 | NPPES |
| Alabama | MEDICAID | 051500571 | |
| Alabama | Other | 16043 |
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