Hittel, Glenn Paul

Hittel, Glenn Paul is an individual health care provider with primary practice located at 150 Gentilly Blvd , Cartersville GA 30120-8522. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Hittel, Glenn Paul can be contacted via phone (770) 382-2580.

Contact Information

Primary practice address
150 Gentilly Blvd Cartersville GA 30120-8522
Phone: (770) 382-2580
Fax: (770) 386-7910
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 034159 Georgia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 034159 Georgia

Profile Details

NPI number 1215098090
LBN Legal business name Hittel, Glenn Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Feb 1st, 2019 - 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 1215098090 NPPES
Georgia MEDICAID 000457564B

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