Dimick, Glen Michael
Dimick, Glen Michael is an individual health care provider with primary practice located at 3734 W Denise Dr , Bloomington IN 47404-8412. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Dimick, Glen Michael can be contacted via phone (773) 206-0331.Contact Information
Primary practice address
3734 W Denise Dr
Bloomington IN 47404-8412
Phone: (773) 206-0331
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 2002093 | Indiana |
Profile Details
| NPI number | 1689278640 |
|---|---|
| LBN Legal business name | Dimick, Glen Michael |
| Credentials | CMD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 30th, 2020 |
| Last updated | Nov 30th, 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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