Cavalier, Glen Michael

Cavalier, Glen Michael is an individual health care provider with primary practice located at 15200 Community Rd , Gulfport MS 39503-3085. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Cavalier, Glen Michael can be contacted via phone (228) 575-7000.

Contact Information

Primary practice address
15200 Community Rd Gulfport MS 39503-3085
Phone: (228) 575-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 28162301A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R875676 Mississippi

Profile Details

NPI number 1043288541
LBN Legal business name Cavalier, Glen Michael
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Sep 5th, 2019 - about 7 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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