Slomin, Glenn R
Slomin, Glenn R is an individual health care provider with primary practice located at 240 N Wickham Rd Suite 300, Melbourne FL 32935-8662. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Slomin, Glenn R can be contacted via phone (321) 308-5050.Contact Information
Primary practice address
240 N Wickham Rd Suite 300
Melbourne FL 32935-8662
Phone: (321) 308-5050
Fax: (321) 984-9497
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DS5906 | Florida |
Profile Details
| NPI number | 1164486783 |
|---|---|
| LBN Legal business name | Slomin, Glenn R |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2006 |
| Last updated | Sep 18th, 2014 - about 12 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 | 1164486783 | NPPES |
| Other | 080077253 | RAIL ROAD MEDICARE | |
| MEDICAID | 371129300 | RAIL ROAD MEDICARE |
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