Glover, Carmon L

Glover, Carmon L is an sole proprietor health care provider with primary practice located at 211 S 3Rd St , Belleville IL 62220-1915. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Glover, Carmon L can be contacted via phone (618) 234-2120.

Contact Information

Primary practice address
211 S 3Rd St Belleville IL 62220-1915
Phone: (618) 234-2120
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036098224 Illinois
Allopathic & Osteopathic Physicians / General Practice 208D00000X 036098224 Illinois

Profile Details

NPI number 1497701510
LBN Legal business name Glover, Carmon L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 26th, 2006
Last updated Mar 25th, 2013 - about 13 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 1497701510 NPPES
Illinois MEDICAID 036098224
Illinois Other P00342997
Illinois Other 08232205
Illinois Other 0008232056
Illinois Other 06032182
Illinois Other 08232204

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