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
Phone: (716) 446-9500
Fax: (716) 446-9501
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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