Mcglynn, Paul V
Mcglynn, Paul V is an sole proprietor health care provider with primary practice located at 49Th Medical Group/Sgopf 280 First Street, Bldg 23, Holloman Afb NM 88330-8273. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mcglynn, Paul V can be contacted via phone (575) 572-7091.Contact Information
Primary practice address
49Th Medical Group/Sgopf 280 First Street, Bldg 23
Holloman Afb NM 88330-8273
Phone: (575) 572-7091
Fax: (575) 572-2259
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 002538 | Georgia |
Profile Details
| NPI number | 1497973325 |
|---|---|
| LBN Legal business name | Mcglynn, Paul V |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 24th, 2007 |
| Last updated | Apr 9th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497973325 | NPPES |
| Georgia | Other | 11529519 | CAQH |
| Georgia | MEDICAID | 100002134B | CAQH |
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