Glaze, Gary M

Glaze, Gary M is an sole proprietor health care provider with primary practice located at 380 Sierra College Dr Suite 200, Grass Valley CA 95945-5092. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Glaze, Gary M can be contacted via phone (916) 613-3392.

Contact Information

Primary practice address
380 Sierra College Dr Suite 200 Grass Valley CA 95945-5092
Phone: (916) 613-3392
Fax: (916) 266-9318
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 20A4983 California
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 20A4983 California

Profile Details

NPI number 1932150257
LBN Legal business name Glaze, Gary M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 12th, 2006
Last updated Apr 26th, 2023 - about 3 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 1932150257 NPPES
California MEDICAID 00AX49830

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