Active NPIIndividual providerSole proprietor

Ethan Glazener

Healthcare Provider in Hyannis, Massachusetts

NPI Number1831620475
Practice location
27 Park St, Hyannis, MA 02601-5203
Fax
—
Last updated
December 5, 2023

Ethan Glazener is a Healthcare Provider based in Hyannis, MA. Ethan Glazener practices in Hyannis, MA. The NPI Number for Ethan Glazener is 1831620475 and holds a License No. 293707 (MA). The current practice location address for Ethan Glazener is 27 Park St, Hyannis, MA 02601-5203 and can be reached out via phone at 508-862-5300.

Provider Profile Details

NPI Number
1831620475
Provider Name
Ethan Glazener
Provider Entity Type
Individual
Gender
Male
Address
27 Park St, Hyannis, MA 02601-5203
Phone Number
508-862-5300
Primary Taxonomy
Healthcare Provider · 2085R0001X
Sole Proprietor
Yes
Provider Enumeration Date
March 24, 2017
Last Update Date
December 5, 2023
Certification Date
December 5, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
27 Park St
Hyannis, MA 02601-5203
Zip
02601-5203
Phone Number
508-862-5300
Hyannis, MA 02601Get directions →

Provider Business Mailing Address Details

Address
27 Park St
Hyannis, MA 02601-5230
City
Hyannis
State
MA
Zip
02601-5230

License Information

License Number
293707
License State
MA
Taxonomy
· 2085R0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Ethan Glazener?

The NPI number of Ethan Glazener is 1831620475. It was assigned on March 24, 2017 and is currently active in the NPPES registry.

What is the specialty of Ethan Glazener?

Ethan Glazener is registered under the primary taxonomy Healthcare Provider (code 2085R0001X), licensed in MA under license number 293707.

Where does Ethan Glazener practice?

The practice location is 27 Park St, Hyannis, MA 02601-5203. The office can be reached at 508-862-5300 (phone).

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 1831620475 directly on the NPPES registry website.

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