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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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