Glazer, Jeffrey D

Glazer, Jeffrey D is an individual health care provider with primary practice located at 2215 Portland Ave , Louisville KY 40212-1033. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Glazer, Jeffrey D can be contacted via phone (812) 218-8926.

Contact Information

Primary practice address
2215 Portland Ave Louisville KY 40212-1033
Phone: (812) 218-8926
Fax: (812) 218-8930
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 25111 Kentucky

Profile Details

NPI number 1467415778
LBN Legal business name Glazer, Jeffrey D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2006
Last updated Apr 14th, 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 1467415778 NPPES
Kentucky MEDICAID 64251119
Kentucky Other K205680
Kentucky Other K205685
Kentucky Other K205681
Kentucky Other K205682
Kentucky Other K205686
Kentucky Other K205683
Kentucky Other K205684

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