Deibert, Glenn R

Deibert, Glenn R is an individual health care provider with primary practice located at 1717 W Chandler Blvd , Chandler AZ 85224-6145. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Deibert, Glenn R can be contacted via phone (480) 821-7565.

Contact Information

Primary practice address
1717 W Chandler Blvd Chandler AZ 85224-6145
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 14416 Arizona

Profile Details

NPI number 1699754903
LBN Legal business name Deibert, Glenn R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2006
Last updated Dec 29th, 2011 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1699754903 NPPES
Arizona MEDICAID 171918

Popular Providers