Wilson, Glenn Gordon

Wilson, Glenn Gordon is an sole proprietor health care provider with primary practice located at 514 S Washington St , Spokane WA 99204-2620. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist, which is considered as his primary health care specialty. Wilson, Glenn Gordon can be contacted via phone (509) 624-3314.

Contact Information

Primary practice address
514 S Washington St Spokane WA 99204-2620
Fax: (509) 787-0952
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X PS60602304 Washington

Profile Details

NPI number 1417471426
LBN Legal business name Wilson, Glenn Gordon
Credentials CP(C)CO,BOCP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2017
Last updated Aug 1st, 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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