Ezell, Glenn R.
Ezell, Glenn R. is an sole proprietor health care provider with primary practice located at 2201 1St Capitol Dr Ste 101 , Saint Charles MO 63301-5805. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Ezell, Glenn R. can be contacted via phone (636) 485-6661.Contact Information
Primary practice address
2201 1St Capitol Dr Ste 101
Saint Charles MO 63301-5805
Phone: (636) 485-6661
Fax: (636) 916-0668
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2013000467 | Missouri |
Profile Details
| NPI number | 1942547062 |
|---|---|
| LBN Legal business name | Ezell, Glenn R. |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 9th, 2013 |
| Last updated | Apr 29th, 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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