Glassheim, Jeffrey W
Glassheim, Jeffrey W is an individual health care provider with primary practice located at 1010 Las Lomas Rd Ne Suite 4, Albuquerque NM 87102-2634. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Glassheim, Jeffrey W can be contacted via phone (505) 246-8700.Contact Information
Primary practice address
1010 Las Lomas Rd Ne Suite 4
Albuquerque NM 87102-2634
Phone: (505) 246-8700
Fax: (866) 571-9011
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 328058 | New York |
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | A-1656-12 | New Mexico |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | A-1656-12 | New Mexico |
Profile Details
| NPI number | 1174685721 |
|---|---|
| LBN Legal business name | Glassheim, Jeffrey W |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Apr 30th, 2024 - about 2 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 | 1174685721 | NPPES |
| Wisconsin | MEDICAID | 43522500 | |
| Wisconsin | MEDICAID | 76622339 |
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