Harvin, Glenn Knoell
Harvin, Glenn Knoell is an individual health care provider with primary practice located at 521 Moye Blvd Fl 3 Ecu Physicians Gastroenterology, Greenville NC 27834-2849. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Harvin, Glenn Knoell can be contacted via phone (252) 744-1400.Contact Information
Primary practice address
521 Moye Blvd Fl 3 Ecu Physicians Gastroenterology
Greenville NC 27834-2849
Phone: (252) 744-1400
Fax: (252) 744-2899
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 200701713 | North Carolina |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 23985 | South Carolina |
Profile Details
| NPI number | 1386733558 |
|---|---|
| LBN Legal business name | Harvin, Glenn Knoell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Jan 10th, 2022 - about 4 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 | 1386733558 | NPPES |
| South Carolina | Other | 23985 | STATE LICENSE NUMBER |
| South Carolina | MEDICAID | 5909351 | STATE LICENSE NUMBER |
| South Carolina | Other | 148PY | STATE LICENSE NUMBER |
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