Herman, Glen A.

Herman, Glen A. is an individual health care provider with primary practice located at 600 Ne 20Th Ln , Boynton Beach FL 33435-2401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Herman, Glen A. can be contacted via phone (561) 542-1553.

Contact Information

Primary practice address
600 Ne 20Th Ln Boynton Beach FL 33435-2401
Phone: (561) 542-1553
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME56248 Florida

Profile Details

NPI number 1114906674
LBN Legal business name Herman, Glen A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Feb 6th, 2020 - about 6 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 1114906674 NPPES
Florida Other 298805 AVMED
Florida Other 12808 AVMED
Florida MEDICAID 055137600 AVMED

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