Glazer, John
Glazer, John is an individual health care provider with primary practice located at 10524 E Highway 92 , Hereford AZ 85615. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Glazer, John can be contacted via phone (520) 366-0300.Contact Information
Primary practice address
10524 E Highway 92
Hereford AZ 85615
Phone: (520) 366-0300
Fax: (520) 366-0440
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adult Medicine | 207QA0505X | 007561 | Arizona |
Profile Details
| NPI number | 1285636126 |
|---|---|
| LBN Legal business name | Glazer, John |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2005 |
| Last updated | Aug 12th, 2022 - about 4 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 | 1285636126 | NPPES |
| Arizona | Other | Z216210 | MEDICARE |
| Arizona | MEDICAID | 400232 | MEDICARE |
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