Glock, Michael

Glock, Michael is an individual health care provider with primary practice located at Medical Center Blvd , Winston Salem NC 27157-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Glock, Michael can be contacted via phone (336) 716-2255.

Contact Information

Primary practice address
Medical Center Blvd Winston Salem NC 27157-0001
Phone: (336) 716-2255
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 35903 North Carolina

Profile Details

NPI number 1033194006
LBN Legal business name Glock, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated May 8th, 2008 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033194006 NPPES
Other 2794 PARTNERS
Other 44931 PARTNERS
MEDICAID 215713000 PARTNERS
MEDICAID 8935991 PARTNERS
Other 35991 PARTNERS
MEDICAID 6710026 PARTNERS
Other 4525084 PARTNERS
MEDICAID Q35903 PARTNERS

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