Glancy, John Ellis
Glancy, John Ellis is an sole proprietor health care provider with primary practice located at 1731 Briggs Chaney Road , Silver Spring MD 20905-5529. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Glancy, John Ellis can be contacted via phone (301) 236-0505.Contact Information
Primary practice address
1731 Briggs Chaney Road
Silver Spring MD 20905-5529
Phone: (301) 236-0505
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | D0025345 | Maryland |
Profile Details
| NPI number | 1073518155 |
|---|---|
| LBN Legal business name | Glancy, John Ellis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Jan 13th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073518155 | NPPES |
| Maryland | MEDICAID | 373631800 | |
| Maryland | Other | 0696 |
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