Glickman, Bruce Steven
Glickman, Bruce Steven is an individual health care provider with primary practice located at 464073 Sr 200 Suite 4, Yulee FL 32097. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Glickman, Bruce Steven can be contacted via phone (904) 491-1345.Contact Information
Primary practice address
464073 Sr 200 Suite 4
Yulee FL 32097
Phone: (904) 491-1345
Fax: (904) 491-1346
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH3341 | Florida |
Profile Details
| NPI number | 1417975996 |
|---|---|
| LBN Legal business name | Glickman, Bruce Steven |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Jul 2nd, 2010 - about 16 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 | 1417975996 | NPPES |
| Florida | MEDICAID | 381329100 |
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