Dewberry, Glenn P.

Dewberry, Glenn P. is an individual health care provider with primary practice located at 2701 N Rockwell Ave , Bethany OK 73008-5246. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dewberry, Glenn P. can be contacted via phone (405) 755-4050.

Contact Information

Primary practice address
2701 N Rockwell Ave Bethany OK 73008-5246
Phone: (405) 755-4050
Fax: (405) 752-1553
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11240 Oklahoma

Profile Details

NPI number 1548205214
LBN Legal business name Dewberry, Glenn P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Apr 28th, 2014 - about 12 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 1548205214 NPPES
Oklahoma MEDICAID 100110540B
Oklahoma Other 11240
Oklahoma Other 080156332
Oklahoma Other 15648

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