Jennings, Glenn E

Jennings, Glenn E is an individual health care provider with primary practice located at 445 Dolley Madison Rd Ste 410 , Greensboro NC 27410-5167. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Jennings, Glenn E can be contacted via phone (336) 292-1510.

Contact Information

Primary practice address
445 Dolley Madison Rd Ste 410 Greensboro NC 27410-5167
Phone: (336) 292-1510
Fax: (336) 292-0679
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 200401076 North Carolina
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 200401076 North Carolina
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 2004-01076 North Carolina

Profile Details

NPI number 1336196898
LBN Legal business name Jennings, Glenn E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Jul 27th, 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 1336196898 NPPES
North Carolina Other 1371F BCBS NC
North Carolina Other 343712 BCBS NC
North Carolina MEDICAID 891371F BCBS NC
North Carolina Other D6763 BCBS NC
North Carolina Other 7654624 BCBS NC

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