Glassgow, Corinne Denise

Glassgow, Corinne Denise is an individual health care provider with primary practice located at 1400 Pottery Ave , Port Orchard WA 98366-3711. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Glassgow, Corinne Denise can be contacted via phone (360) 895-5000.

Contact Information

Primary practice address
1400 Pottery Ave Port Orchard WA 98366-3711
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OL60286796 Washington
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OP60456733 Washington

Profile Details

NPI number 1457613770
LBN Legal business name Glassgow, Corinne Denise
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2012
Last updated Apr 7th, 2021 - about 5 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 1457613770 NPPES
Washington MEDICAID 2020850

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