Glass, Lionel
Glass, Lionel is an sole proprietor health care provider with primary practice located at 43494 Woodward Avenue Suite 103, Bloomfield Hills MI 48302-0567. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Glass, Lionel can be contacted via phone (866) 485-1399.Contact Information
Primary practice address
43494 Woodward Avenue Suite 103
Bloomfield Hills MI 48302-0567
Phone: (866) 485-1399
Fax: (206) 333-0668
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 4301031094 | Michigan |
Profile Details
| NPI number | 1154426518 |
|---|---|
| LBN Legal business name | Glass, Lionel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 2006 |
| Last updated | Jun 23rd, 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 | 1154426518 | NPPES |
| Michigan | Other | 27-2558278 | TAX ID |
| Michigan | MEDICAID | 103504593 | TAX ID |
| Michigan | Other | 130635749 | TAX ID |
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