Digwood, Glen David

Digwood, Glen David is an individual health care provider with primary practice located at 1800 Mulberry St , Scranton PA 18510-2369. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Digwood, Glen David can be contacted via phone (570) 703-8231.

Contact Information

Primary practice address
1800 Mulberry St Scranton PA 18510-2369
Phone: (570) 703-8231
Fax: (570) 703-8250
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OT011552 Pennsylvania
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X OS015150 Pennsylvania

Profile Details

NPI number 1043451354
LBN Legal business name Digwood, Glen David
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2009
Last updated Aug 7th, 2020 - about 6 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 1043451354 NPPES
Pennsylvania MEDICAID 1024860450001

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