Glenn, Mark S
Glenn, Mark S is an individual health care provider with primary practice located at 702 N Kansas , Russell KS 67665-0535. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Glenn, Mark S can be contacted via phone (785) 483-2451.Contact Information
Primary practice address
702 N Kansas
Russell KS 67665-0535
Phone: (785) 483-2451
Fax: (785) 483-4986
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 11533 | Kansas |
Profile Details
| NPI number | 1689760886 |
|---|---|
| LBN Legal business name | Glenn, Mark S |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | May 9th, 2016 - about 10 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 | 1689760886 | NPPES |
| Kansas | Other | 5502690001 | DMEPOS |
| Kansas | MEDICAID | 100219210B | DMEPOS |
Popular Providers
-
Baker, Angie Pruitt
8072 Normandy Dr , Fort Riley KS 66442-7069 -
Radig, Christopher David
330 N Main St , Pocahontas IA 50574-1626 -
Tabak, David J.
530 N Hough St Ste 140 , Barrington IL 60010-3163 -
Lampert, Paul M
124 East Wichita Avenue , Russell KS 67665-0568 -
Del Vecchio, Patrick F
28 N Homestead Blvd , Homestead FL 33030-7416 -
Maxwell, Daniel Robert
101 Clinton St Ste 1000, Defiance OH 43512 -
Brodney, Alan C
10390 Santa Monica Blvd Suite 320, Los Angeles CA 90025-5058 -
Rotheker, Michael John
17615 State Road 23 , South Bend IN 46635