B .glenn Blair DPM P.c.
Podiatrist, Primary Podiatric Medicine in Shelton, Connecticut
1306020938- Practice location
- 375 Bridgeport Ave, Shelton, CT 06484-3844
- Phone
- 203-929-5559
- Fax
- 203-929-5277
- Last updated
- April 2, 2012
B .glenn Blair DPM P.c. is a healthcare organization based in Shelton, CT. B .glenn Blair DPM P.c. practices in Shelton, CT. The NPI Number for B .glenn Blair DPM P.c. is 1306020938 and holds a License No. 000419 (CT). The current practice location address for B .glenn Blair DPM P.c. is 375 Bridgeport Ave, Shelton, CT 06484-3844 and can be reached out via phone at 203-929-5559 and via fax at 203-929-5277.
Provider Profile Details
- NPI Number
- 1306020938
- Provider Name
- B .glenn Blair DPM P.c.
- Provider Entity Type
- Organization
- Address
- 375 Bridgeport Ave, Shelton, CT 06484-3844
- Phone Number
- 203-929-5559
- Fax Number
- 203-929-5277
- Primary Taxonomy
- Podiatrist, Primary Podiatric Medicine · 213EP1101X
- Organization Subpart
- No
- Authorized Official
- Mrs. Julie M Russell · Office Manager · 203-929-5559
- Provider Enumeration Date
- December 18, 2007
- Last Update Date
- April 2, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 375 Bridgeport Ave
Shelton, CT 06484-3844 - City
- Shelton
- State
- Connecticut
- Zip
- 06484-3844
- Phone Number
- 203-929-5559
- Fax Number
- 203-929-5277
Provider Business Mailing Address Details
- Address
- 375 Bridgeport Ave
Shelton, CT 06484-3844 - City
- Shelton
- State
- CT
- Zip
- 06484-3844
- Phone Number
- 203-929-5559
- Fax Number
- 203-929-5277
License Information
- License Number (1)
- 000419
- License State (1)
- CT
- Taxonomy (1)
- Podiatrist, Radiology · 213ER0200X
- License Number (2)
- 000419
- License State (2)
- CT
- License Number (3)
- CT000419
- License State (3)
- CT
- Taxonomy (3)
- Durable Medical Equipment & Medical Supplies · 332B00000X
- License Number (4)
- 000419
- License State (4)
- CT
- Taxonomy (4)
- Podiatrist, Primary Podiatric Medicine · 213EP1101X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of B .glenn Blair DPM P.c.?
The NPI number of B .glenn Blair DPM P.c. is 1306020938. It was assigned on December 18, 2007 and is currently active in the NPPES registry.
What is the specialty of B .glenn Blair DPM P.c.?
B .glenn Blair DPM P.c. is registered under the primary taxonomy Podiatrist, Primary Podiatric Medicine (code 213EP1101X), licensed in CT under license number 000419.
Where does B .glenn Blair DPM P.c. practice?
The practice location is 375 Bridgeport Ave, Shelton, CT 06484-3844. The office can be reached at 203-929-5559 (phone) or 203-929-5277 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306020938 directly on the NPPES registry website.