Stall, Glenn
Stall, Glenn is an sole proprietor health care provider with primary practice located at 2709 Blue Ridge Rd Suite 320, Raleigh NC 27607-6462. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Stall, Glenn can be contacted via phone (919) 876-7692.Contact Information
Primary practice address
2709 Blue Ridge Rd Suite 320
Raleigh NC 27607-6462
Phone: (919) 876-7692
Fax: (919) 954-3365
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 9801510 | North Carolina |
Profile Details
| NPI number | 1841268208 |
|---|---|
| LBN Legal business name | Stall, Glenn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 10th, 2006 |
| Last updated | Sep 13th, 2011 - about 14 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 | 1841268208 | NPPES |
| North Carolina | MEDICAID | 89126WG | |
| North Carolina | Other | 460003102 | |
| North Carolina | Other | 126WG | |
| North Carolina | Other | P00629153 |
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