Brothers, Glenn T

Brothers, Glenn T is an individual health care provider with primary practice located at 406 N Poinsett Hwy Gateway Family Medicine, Travelers Rest SC 29690-1667. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brothers, Glenn T can be contacted via phone (864) 834-4151.

Contact Information

Primary practice address
406 N Poinsett Hwy Gateway Family Medicine Travelers Rest SC 29690-1667
Phone: (864) 834-4151
Fax: (864) 834-6145
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 39795 South Carolina

Profile Details

NPI number 1871549055
LBN Legal business name Brothers, Glenn T
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Nov 10th, 2016 - 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 1871549055 NPPES
Missouri Other P00353360 RAILROAD MEDICARE
Missouri MEDICAID 397957 RAILROAD MEDICARE

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