Yates, Glenn A
Yates, Glenn A is an individual health care provider with primary practice located at 1722 Pine St Suite 309, Montgomery AL 36106-1103. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Yates, Glenn A can be contacted via phone (334) 262-0342.Contact Information
Primary practice address
1722 Pine St Suite 309
Montgomery AL 36106-1103
Phone: (334) 262-0342
Fax: (334) 262-0390
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 8474 | Alabama |
Profile Details
| NPI number | 1124019781 |
|---|---|
| LBN Legal business name | Yates, Glenn A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Nov 16th, 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 | 1124019781 | NPPES |
| Alabama | Other | 8474 | STATE LICENSE |
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