Macnichol, Glenn Edward

Macnichol, Glenn Edward is an individual health care provider with primary practice located at 110 Patrick Ct , Rocky Mount NC 27804-1743. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Macnichol, Glenn Edward can be contacted via phone (252) 443-0400.

Contact Information

Primary practice address
110 Patrick Ct Rocky Mount NC 27804-1743
Phone: (252) 443-0400
Fax: (252) 443-0572
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 34389 North Carolina
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 34389 North Carolina

Profile Details

NPI number 1245297811
LBN Legal business name Macnichol, Glenn Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated May 6th, 2020 - about 5 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 1245297811 NPPES
North Carolina MEDICAID 7953696

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