Joseph, Peter Glenn

Joseph, Peter Glenn is an individual health care provider with primary practice located at 20103 Lake Chabot Rd , Castro Valley CA 94546-5341. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Joseph, Peter Glenn can be contacted via phone (209) 342-2300.

Contact Information

Primary practice address
20103 Lake Chabot Rd Castro Valley CA 94546-5341
Phone: (209) 342-2300
Fax: (209) 524-4240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G35591 California

Profile Details

NPI number 1396729158
LBN Legal business name Joseph, Peter Glenn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Jul 29th, 2008 - about 18 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 1396729158 NPPES
California Other OOG355910 BLUE SHIELD
California MEDICAID OOG355910 BLUE SHIELD

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