Glass, Marvin

Glass, Marvin is an individual health care provider with primary practice located at 101 Bodin Cir , Travis Afb CA 94535-1809. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiological Physics, which is considered as his primary health care specialty. Glass, Marvin can be contacted via phone (707) 423-5119.

Contact Information

Primary practice address
101 Bodin Cir Travis Afb CA 94535-1809
Phone: (707) 423-5119
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiological Physics 2085R0205X P2485 California

Profile Details

NPI number 1164997862
LBN Legal business name Glass, Marvin
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2018
Last updated Oct 9th, 2018 - about 8 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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