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Individual
DR. GLENN KRIEGER
Active
Individual
DR. GLENN KRIEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X009737
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5897815
GHI
NY
01
—
652644
ACN
NY
01
—
P2981383
OXFORD
NY
01
—
X5C551
MEDICARE PTAN
NY
01
—
X5V43
BLUE CROSS BLUE SHIELD
NY
Enumeration date
11/15/2006
Last updated
09/15/2011
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