Kane, Glenn I

Kane, Glenn I is an individual health care provider with primary practice located at 1350 W Covina Blvd , San Dimas CA 91773-3245. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Kane, Glenn I can be contacted via phone (909) 599-6811.

Contact Information

Primary practice address
1350 W Covina Blvd San Dimas CA 91773-3245
Phone: (909) 599-6811
Fax: (818) 587-2493
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G33423 California

Profile Details

NPI number 1649218835
LBN Legal business name Kane, Glenn I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Dec 18th, 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 1649218835 NPPES
California Other 930045580 RAILROAD MEDICARE
California Other 00G334230 RAILROAD MEDICARE
California MEDICAID 00G334230 RAILROAD MEDICARE

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