Glover, Mark W

Glover, Mark W is an individual health care provider with primary practice located at 2115 S Fremont Ave Suite 3000, Springfield MO 65804-2239. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Glover, Mark W can be contacted via phone (417) 820-7708.

Contact Information

Primary practice address
2115 S Fremont Ave Suite 3000 Springfield MO 65804-2239
Phone: (417) 820-7708
Fax: (417) 820-7951
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 01548 Missouri

Profile Details

NPI number 1972590537
LBN Legal business name Glover, Mark W
Credentials PSYCHOLOGIST
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2005
Last updated Sep 11th, 2015 - about 11 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 1972590537 NPPES
Missouri Other 680007342 RR MEDICARE
Missouri MEDICAID 183800719 RR MEDICARE
Missouri MEDICAID 493583108 RR MEDICARE
Missouri MEDICAID 1972590537 RR MEDICARE
Missouri MEDICAID 200286220A RR MEDICARE
Missouri Other P00251264 RR MEDICARE
Missouri Other P00894315 RR MEDICARE
Missouri MEDICAID 493583124 RR MEDICARE

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