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NPI Code Detail

MEDICARE: MR. GLENDON MUIR GEIKIE SR. MSW

MEDICARE: MR. GLENDON MUIR GEIKIE SR. MSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker101136MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245211457
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. GLENDON MUIR GEIKIE SR. MSW
Provider Business Mailing Address
First Line : 25 TOWN FARM RD
Second Line :
City : WESTMINSTER
State : MA
Zip : 01473-1004
Country : US
Telephone Number : 978-874-9913
Fax Number : 978-874-9913
Provider Business Practice Location Address
First Line : 16 WYMAN RD
Second Line :
City : WESTMINSTER
State : MA
Zip : 01473-1601
Country : US
Telephone Number : 978-874-9913
Fax Number : 978-874-9913
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2005
Last Update Date : 07/08/2007

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