Stanley, Glenn M

Stanley, Glenn M is an individual health care provider with primary practice located at 420 Owen Dr , Fayetteville NC 28304-3430. 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. Stanley, Glenn M can be contacted via phone (910) 484-1210.

Contact Information

Primary practice address
420 Owen Dr Fayetteville NC 28304-3430
Fax: (910) 484-1347
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 102083 North Carolina

Profile Details

NPI number 1770570822
LBN Legal business name Stanley, Glenn M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Feb 20th, 2017 - about 9 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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