Glaza, Al
Glaza, Al is an individual health care provider with primary practice located at 146 Highway 274 , Lake Wylie SC 29710-6045. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Glaza, Al can be contacted via phone (803) 831-2345.Contact Information
Primary practice address
146 Highway 274
Lake Wylie SC 29710-6045
Phone: (803) 831-2345
Fax: (803) 831-2007
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1193 | South Carolina |
Profile Details
| NPI number | 1306805916 |
|---|---|
| LBN Legal business name | Glaza, Al |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1306805916 | NPPES |
| South Carolina | MEDICAID | GCH293 |
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