Glaze, Hoyt

Glaze, Hoyt is an individual health care provider with primary practice located at 653 Cherokee St , Marietta GA 30060. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Glaze, Hoyt can be contacted via phone (770) 419-1393.

Contact Information

Primary practice address
653 Cherokee St Marietta GA 30060
Phone: (770) 419-1393
Fax: (770) 419-8188
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X LDO000497 Georgia

Profile Details

NPI number 1184744997
LBN Legal business name Glaze, Hoyt
Credentials LDO
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
Last updated Mar 18th, 2008 - about 17 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 1184744997 NPPES
Georgia Other 1156400001 MEDICARE NSC
Georgia Other 1348A MEDICARE NSC
Georgia Other 1156400001 MEDICARE NSC
Georgia Other 7704191393 MEDICARE NSC
Georgia Other GA0497 MEDICARE NSC

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