Waldt, Glenn J

Waldt, Glenn J is an sole proprietor health care provider with primary practice located at 2803 Doral Ct , Las Cruces NM 88011-8616. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM is his primary health care specialty. Waldt, Glenn J can be contacted via phone (046) 984-4063.

Contact Information

Primary practice address
2803 Doral Ct Las Cruces NM 88011-8616
Phone: (046) 984-4063
Fax: (877) 532-2113
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X A045921 New Mexico
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1437219698
LBN Legal business name Waldt, Glenn J
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2006
Last updated May 8th, 2024 - about last year

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 1437219698 NPPES
New Mexico MEDICAID 27552381

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