Morehead, Glen P

Morehead, Glen P is an sole proprietor health care provider with primary practice located at 1180 N. Indian Canyon Dr. E218, Palm Springs CA 92262-4800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Morehead, Glen P can be contacted via phone (760) 416-4800.

Contact Information

Primary practice address
1180 N. Indian Canyon Dr. E218 Palm Springs CA 92262-4800
Phone: (760) 416-4800
Fax: (770) 229-1518
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 31076 Georgia

Profile Details

NPI number 1720169386
LBN Legal business name Morehead, Glen P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2006
Last updated Jan 22nd, 2021 - 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 1720169386 NPPES
Georgia MEDICAID 000447433A
Georgia MEDICAID 000447433C

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