Donald Glover Ii, is a
Emergency Medical Technician, Basic based in San Leandro, California. Donald Glover Ii is licensed to practice in * (Not Available) (license number ) and his current practice location is
2035 Fairmont Dr, San Leandro, California. He can be reached at his office (for appointments etc.) via phone at
(510) 346-7836.
NPI number for Donald Glover Ii is 1740677368 and his current mailing address is 2035 Fairmont Dr, San Leandro, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1740677368.
Healthcare Provider's Profile
| Full Name | Donald Glover Ii |
|---|
| Gender | Male |
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| Speciality | Emergency Medical Technician, Basic |
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| Location | 2035 Fairmont Dr, San Leandro, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1740677368
- Provider Enumeration Date: 04/21/2015
- Last Update Date: 04/21/2015
Medical Identifiers
Medical identifiers for Donald Glover Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740677368 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 146N00000X | Emergency Medical Technician, Basic | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Donald Glover Ii is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Donald Glover Ii,
2035 Fairmont Dr,
San Leandro, CA 94578-1088
Ph: (510) 346-7836 | Donald Glover Ii,
2035 Fairmont Dr,
San Leandro, CA 94578-1088
Ph: (510) 346-7836 |
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