Theodore E Glynn is a Specialist in Lansing, Michigan. Theodore E Glynn practices all healthcare services and medical treatments related to Specialist. The NPI Number for Theodore E Glynn is 1154475523. The last update date is 2017-03-21.
Theodore E Glynn's current location address is 5303 S Cedar St, Lansing, Michigan. You can contact this provider via phone number 5178874311. The mailing address for Theodore E Glynn is 5303 S Cedar St, Lansing, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Theodore E Glynn |
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Address | 5303 S Cedar St, Lansing, Michigan |
Phone Number | 5178874311 |
Fax Number | |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1154475523 |
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Provider Enumeration Date | 2007-01-23 |
Last Updated Date | 2017-03-21 |
Provider Mailing Address Detail
Address | 5303 S Cedar St |
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City | Lansing |
State | Michigan (MI) |
Post Code | 489113800 |
Phone Number | 5178874311 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | 4301071075 |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
382168683 | MI | TAX ID | |
4548289 | MI | -- |
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What is the unique 10-digit identifier code assigned to Theodore E Glynn by the Centers for Medicare & Medicaid Services?
The Theodore E Glynn has been issued the NPI (National Provider Identifier) 1154475523 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Theodore E Glynn?
The Theodore E Glynn is situated at 5303 S Cedar St, in the city of Lansing, state of MI, with the zip code 489113800.
What is the Theodore E Glynn's specialty and taxonomy code?
The Theodore E Glynn's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date was the 1154475523 assigned to Theodore E Glynn?
The Theodore E Glynn was issued its 1154475523 on 2007-01-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Theodore E Glynn, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Theodore E Glynn, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-03-21.
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