Johnson, Glen Edward
Johnson, Glen Edward is an sole proprietor health care provider with primary practice located at 716 Maiden Choice Ln Suite 205, Baltimore MD 21228-5943. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Johnson, Glen Edward can be contacted via phone (410) 788-7757.Contact Information
Primary practice address
716 Maiden Choice Ln Suite 205
Baltimore MD 21228-5943
Phone: (410) 788-7757
Fax: (470) 744-3817
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | D19558 | Maryland |
Profile Details
| NPI number | 1730173675 |
|---|---|
| LBN Legal business name | Johnson, Glen Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 7th, 2005 |
| Last updated | Jan 25th, 2017 - about 9 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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