Glover, Brian Keith

Glover, Brian Keith is an sole proprietor health care provider with primary practice located at 3620 Harlem Rd Ste 2 , Cheektowaga NY 14215-2042. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Glover, Brian Keith can be contacted via phone (716) 446-9500.

Contact Information

Primary practice address
3620 Harlem Rd Ste 2 Cheektowaga NY 14215-2042
Fax: (716) 446-9501
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 022612 New York

Profile Details

NPI number 1447242342
LBN Legal business name Glover, Brian Keith
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2005
Last updated Sep 12th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447242342 NPPES
New York Other 000626742002 BC/BS
New York MEDICAID 02167366 BC/BS
New York Other P00173532 BC/BS

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