MR. CLINTON EARL GLASS P.A. NPI 1093050098

NPI Information

NPI: 1093050098
Provider Name: MR. CLINTON EARL GLASS, P.A.
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
51 DEAK DR
SUITE 1 FIRST FL.
SMYRNA, DE
ZIP 19977
Phone: (302) 653-1281
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MR. Clinton Earl Glass, P.A. is a medical physician assistant in Smyrna, DE. MR. Clinton Earl Glass, P.A. NPI is 1093050098. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

51 DEAK DR
SUITE 1 FIRST FL.
SMYRNA, DE
ZIP 19977-268
Phone: (302) 653-1281
Fax: (302) 653-1283

The NPI 1093050098 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 12/1/2012 and was last updated on 12/1/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QA0000X	Family Medicine	Adolescent Medicine	C5-0000852	DELAWARE	No
2	363AM0700X	Physician Assistant	Medical	C5-0000852	DELAWARE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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