Provider Demographics
NPI:1427172154
Name:CURRY, GLENN D (L M P)
Entity type:Individual
Prefix:MR
First Name:GLENN
Middle Name:D
Last Name:CURRY
Suffix:
Gender:M
Credentials:L M P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 N. MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:COUPEVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98239-0400
Mailing Address - Country:US
Mailing Address - Phone:360-678-7619
Mailing Address - Fax:360-678-0326
Practice Address - Street 1:101 N. MAIN STREET
Practice Address - Street 2:
Practice Address - City:COUPEVILLE
Practice Address - State:WA
Practice Address - Zip Code:98239-0400
Practice Address - Country:US
Practice Address - Phone:360-678-7619
Practice Address - Fax:360-678-0326
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA175L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175L00000XOther Service ProvidersHomeopath