Bly, Glenda Clemmer
Bly, Glenda Clemmer is an sole proprietor health care provider with primary practice located at 2905 N Prince St Suite C, Clovis NM 88101-3843. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Bly, Glenda Clemmer can be contacted via phone (505) 763-0551.Contact Information
Primary practice address
2905 N Prince St Suite C
Clovis NM 88101-3843
Phone: (505) 763-0551
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 3498 | New Mexico |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MT022683 | Texas |
Profile Details
| NPI number | 1255485652 |
|---|---|
| LBN Legal business name | Bly, Glenda Clemmer |
| Credentials | LMT, RMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1255485652 | NPPES |
| New Mexico | Other | NM00RE56 | BLUE CROSS & BLUE SHIELD |
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