Rouse, Glenn

Rouse, Glenn is an individual health care provider with primary practice located at 11234 Anderson St , Loma Linda CA 92354-2804. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Rouse, Glenn can be contacted via phone (909) 558-8311.

Contact Information

Primary practice address
11234 Anderson St Loma Linda CA 92354-2804
Phone: (909) 558-8311
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G36255 California

Profile Details

NPI number 1841216926
LBN Legal business name Rouse, Glenn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Apr 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841216926 NPPES
California MEDICAID 00G362550

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