National Provider Identifier Database

BRUCE S GLICKMAN, DC – NPI #1417975996
Chiropractor

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.


Contact Information

BRUCE S GLICKMAN, DC
464073 SR 200
SUITE 4
YULEE, FL32097
Phone: 904-491-1345
Fax: 904-491-1346
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for BRUCE S GLICKMAN

NPI Number 1417975996
Credentials DC (Doctor of Chiropractic)
Entity Individual
Enumeration date 07/17/2006
Last updated 07/02/2010 - About 16 years ago
Sole proprietor1 No
Identifiers
  • FL License #: CH3341
  • FL Medicaid: 381329100
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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