Glenn, Garland Dwain
Glenn, Garland Dwain is an sole proprietor health care provider with primary practice located at 11710 Plaza America Dr Ste 2000 , Reston VA 20190-4743. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Glenn, Garland Dwain can be contacted via phone (703) 303-8844.Contact Information
Primary practice address
11710 Plaza America Dr Ste 2000
Reston VA 20190-4743
Phone: (703) 303-8844
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 9612 | Texas |
| Chiropractic Providers / Chiropractor | 111N00000X | 0104557290 | Virginia |
Profile Details
| NPI number | 1932178142 |
|---|---|
| LBN Legal business name | Glenn, Garland Dwain |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Oct 31st, 2018 - about 8 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 | 1932178142 | NPPES |
| South Carolina | Other | 753118466 | BLUE CROSS BLUE SHIELD # |
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