Henry, Glen Allen

Henry, Glen Allen is an individual health care provider with primary practice located at 3300 Nw Expressway , Oklahoma City OK 73112-4418. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Henry, Glen Allen can be contacted via phone (405) 949-3308.

Contact Information

Primary practice address
3300 Nw Expressway Oklahoma City OK 73112-4418
Phone: (405) 949-3308
Fax: (405) 951-8685
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 20224 Oklahoma

Profile Details

NPI number 1639168578
LBN Legal business name Henry, Glen Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Jul 21st, 2017 - about 9 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 1639168578 NPPES
Oklahoma MEDICAID 1003132110A

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