Combs, Glen Edward

Combs, Glen Edward is an individual health care provider with primary practice located at 2255 Lewisville Clemmons Rd , Clemmons NC 27012-7463. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Combs, Glen Edward can be contacted via phone (336) 766-0505.

Contact Information

Primary practice address
2255 Lewisville Clemmons Rd Clemmons NC 27012-7463
Phone: (336) 766-0505
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 101309 North Carolina

Profile Details

NPI number 1235102211
LBN Legal business name Combs, Glen Edward
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Mar 7th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235102211 NPPES
Virginia MEDICAID 009241E25
Virginia Other -010
Virginia Other 101309

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