Dodge, Glenn
Dodge, Glenn is an sole proprietor health care provider with primary practice located at 49 Nw 1St St Ste 1 , Ontario OR 97914-2468. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Dodge, Glenn can be contacted via phone (541) 889-4550.Contact Information
Primary practice address
49 Nw 1St St Ste 1
Ontario OR 97914-2468
Phone: (541) 889-4550
Fax: (541) 889-4628
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 3474 | Oregon |
Profile Details
| NPI number | 1417021494 |
|---|---|
| LBN Legal business name | Dodge, Glenn |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 20th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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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