Glennon, Joseph R
Glennon, Joseph R is an sole proprietor health care provider with primary practice located at 1212 Kempton St , New Bedford MA 02740-1503. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Glennon, Joseph R can be contacted via phone (508) 997-3222.Contact Information
Primary practice address
1212 Kempton St
New Bedford MA 02740-1503
Phone: (508) 997-3222
Fax: (508) 997-6848
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2169 | Massachusetts |
Profile Details
| NPI number | 1225145014 |
|---|---|
| LBN Legal business name | Glennon, Joseph R |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 25th, 2006 |
| Last updated | May 1st, 2014 - about 12 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 | 1225145014 | NPPES |
| Massachusetts | MEDICAID | 0318515 | |
| Massachusetts | Other | 0481020001 |
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