Waldman, Glenn Eric
Waldman, Glenn Eric is an individual health care provider with primary practice located at 415 Rolling Oaks Dr Suite 190, Thousand Oaks CA 91361-1029. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Waldman, Glenn Eric can be contacted via phone (805) 494-4797.Contact Information
Primary practice address
415 Rolling Oaks Dr Suite 190
Thousand Oaks CA 91361-1029
Phone: (805) 494-4797
Fax: (805) 494-4810
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | A62183 | California |
Profile Details
| NPI number | 1881665586 |
|---|---|
| LBN Legal business name | Waldman, Glenn Eric |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2006 |
| Last updated | Aug 14th, 2012 - 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 | 1881665586 | NPPES |
| California | MEDICAID | 00A62183A |
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