Hendricks, Glenna P.

Hendricks, Glenna P. is an individual health care provider with primary practice located at 13540 Hull Street Rd , Midlothian VA 23112-2107. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Hendricks, Glenna P. can be contacted via phone (804) 739-6142.

Contact Information

Primary practice address
13540 Hull Street Rd Midlothian VA 23112-2107
Phone: (804) 739-6142
Fax: (804) 739-8923
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101229281 Virginia
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 0101229281 Virginia

Profile Details

NPI number 1952333130
LBN Legal business name Hendricks, Glenna P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Apr 29th, 2011 - about 15 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 1952333130 NPPES
Virginia MEDICAID 010185475
Virginia Other 1001128
Virginia Other 321012
Virginia Other 3962989
Virginia Other 4892804
Virginia Other 5348291
Virginia Other 7765699
Virginia Other 182433
Virginia Other 2138657

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