Hastings, Glen Howard
Hastings, Glen Howard is an individual health care provider with primary practice located at 2990 Niles Rd , Saint Joseph MI 49085-8607. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Hastings, Glen Howard can be contacted via phone (269) 983-3368.Contact Information
Primary practice address
2990 Niles Rd
Saint Joseph MI 49085-8607
Phone: (269) 983-3368
Fax: (269) 983-2758
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 4301 406148 | Michigan |
Profile Details
| NPI number | 1669439550 |
|---|---|
| LBN Legal business name | Hastings, Glen Howard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Apr 15th, 2014 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669439550 | NPPES |
| Michigan | MEDICAID | 4170368 10 |
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