Glick, Alexander Edward
Glick, Alexander Edward is an individual health care provider with primary practice located at 22395 Edgewater Dr , Port Charlotte FL 33980-2012. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Glick, Alexander Edward can be contacted via phone (941) 766-7222.Contact Information
Primary practice address
22395 Edgewater Dr
Port Charlotte FL 33980-2012
Phone: (941) 766-7222
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | ME128071 | Florida |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | ME128071 | Florida |
Profile Details
| NPI number | 1598081911 |
|---|---|
| LBN Legal business name | Glick, Alexander Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 9th, 2010 |
| Last updated | May 3rd, 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 | 1598081911 | NPPES |
| Florida | MEDICAID | 017295300 |
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