Dr Douglas Clinton Glenn, DC | |
260 Mcelwain Ln, New Castle, PA 16101-8362 | |
(412) 915-3784 | |
Not Available |
Full Name | Dr Douglas Clinton Glenn |
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Gender | Male |
Speciality | Chiropractor |
Location | 260 Mcelwain Ln, New Castle, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1740996461 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | DC011811 (Pennsylvania) | Primary |
Provider Name | Active Chiropractic And Rehabilitation Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1356736334 PECOS PAC ID: 0244542009 Enrollment ID: O20150708000102 |
Mailing Address | Practice Location Address |
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Dr Douglas Clinton Glenn, DC 260 Mcelwain Ln, New Castle, PA 16101-8362 Ph: () - | Dr Douglas Clinton Glenn, DC 260 Mcelwain Ln, New Castle, PA 16101-8362 Ph: (412) 915-3784 |
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