Glick, Howard A
Glick, Howard A is an individual health care provider with primary practice located at 21001 Sycolin Rd , Ashburn VA 20147-4073. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Glick, Howard A can be contacted via phone (703) 858-7838.Contact Information
Primary practice address
21001 Sycolin Rd
Ashburn VA 20147-4073
Phone: (703) 858-7838
Fax: (703) 858-9697
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 0101032453 | Virginia |
Profile Details
| NPI number | 1790798965 |
|---|---|
| LBN Legal business name | Glick, Howard A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2006 |
| Last updated | Feb 18th, 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 | 1790798965 | NPPES |
| Virginia | MEDICAID | 540948306 | |
| Virginia | MEDICAID | 293477 | |
| Virginia | MEDICAID | 004945140 |
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