National Provider Identifier Database

GLENN BEALL, CPO – NPI #1790204063
Prosthetist

An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both


Contact Information

GLENN BEALL, CPO
48 HIAWATHA BLVD
OAKLAND, NJ07436-2919
Phone: 619-867-6094
Fax:
Website:
Specialty Taxonomy Code
* Prosthetist 224P00000X

* Indicates primary specialty

NPI Profile & details for GLENN BEALL

NPI Number 1790204063
Credentials CPO
Entity Individual
Enumeration date 09/18/2017
Last updated 09/18/2017 - About 9 years ago
Sole proprietor1 Yes
Identifiers
  • NJ License #: 45PO00017000
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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