Fitzwater, Glenn S

Fitzwater, Glenn S is an individual health care provider with primary practice located at 113 Hoke Street , Gadsden AL 35903-1744. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Fitzwater, Glenn S can be contacted via phone (256) 546-3047.

Contact Information

Primary practice address
113 Hoke Street Gadsden AL 35903-1744
Fax: (256) 546-7116
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1359 Alabama
Chiropractic Providers / Chiropractor 111N00000X 1671 Ohio

Profile Details

NPI number 1649210972
LBN Legal business name Fitzwater, Glenn S
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Dec 4th, 2011 - about 15 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 1649210972 NPPES
Georgia Other 350019263 RAILROAD MEDICARE

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