Glass, Carly Melissa

Glass, Carly Melissa is an individual health care provider with primary practice located at 220 E Rowan Ave Ste 300, Spokane WA 99207-1202. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Glass, Carly Melissa can be contacted via phone (509) 489-3554.

Contact Information

Primary practice address
220 E Rowan Ave Ste 300 Spokane WA 99207-1202
Phone: (509) 489-3554
Fax: (509) 489-3558
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 60321732 Washington
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA60321732 Washington

Profile Details

NPI number 1548506918
LBN Legal business name Glass, Carly Melissa
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2012
Last updated Nov 25th, 2015 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1548506918 NPPES
Washington MEDICAID 2024576

Popular Providers