Mcglory, Brian

Mcglory, Brian is an individual health care provider with primary practice located at 504 W Mission Ave Ste 106 , Escondido CA 92025-1603. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Mcglory, Brian can be contacted via phone (510) 482-2244.

Contact Information

Primary practice address
504 W Mission Ave Ste 106 Escondido CA 92025-1603
Phone: (510) 482-2244
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X California

Profile Details

NPI number 1073077566
LBN Legal business name Mcglory, Brian
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2019
Last updated Oct 5th, 2023 - about 3 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 1073077566 NPPES
California MEDICAID 05

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