Waskin, Glen Andrew

Waskin, Glen Andrew is an sole proprietor health care provider with primary practice located at 2701 Ne 14Th Street Cswy Suite 5, Pompano Beach FL 33062-3535. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Waskin, Glen Andrew can be contacted via phone (954) 545-1560.

Contact Information

Primary practice address
2701 Ne 14Th Street Cswy Suite 5 Pompano Beach FL 33062-3535
Phone: (954) 545-1560
Fax: (954) 545-1561
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS 8048 Florida

Profile Details

NPI number 1427167204
LBN Legal business name Waskin, Glen Andrew
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2006
Last updated Dec 4th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427167204 NPPES
Florida MEDICAID 262021900

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