Jockle, Glenn A

Jockle, Glenn A is an individual health care provider with primary practice located at 345 St. Paul Place, 7Th Floor Department Of Pathology, Baltimore MD 21202-2102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, which is considered as his primary health care specialty. Jockle, Glenn A can be contacted via phone (410) 332-6882.

Contact Information

Primary practice address
345 St. Paul Place, 7Th Floor Department Of Pathology Baltimore MD 21202-2102
Phone: (410) 332-6882
Fax: (410) 234-2558
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X D0026956 Maryland

Profile Details

NPI number 1548202989
LBN Legal business name Jockle, Glenn A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2006
Last updated Jan 4th, 2016 - about 10 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 1548202989 NPPES
Maryland Other S185 / 0015 BLUECHOICE
Maryland MEDICAID 429581100 BLUECHOICE
Maryland Other S797 / 600433-01 BLUECHOICE
Maryland Other KU59ST / 600433-01 BLUECHOICE

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