Ingram, Thomas Glenn

Ingram, Thomas Glenn is an individual health care provider with primary practice located at 1111 Crown Pointe Dr , Elizabethtown KY 42701-7101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ingram, Thomas Glenn can be contacted via phone (800) 545-9031.

Contact Information

Primary practice address
1111 Crown Pointe Dr Elizabethtown KY 42701-7101
Phone: (800) 545-9031
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 28724 Kentucky

Profile Details

NPI number 1437153194
LBN Legal business name Ingram, Thomas Glenn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Apr 20th, 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 1437153194 NPPES
Kentucky MEDICAID 64287246
Kentucky Other P00101625

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