Dr. Glenn J Waldt
Neuromusculoskeletal Medicine (NMM)
2900 Hillrise Drive
Las Cruces
, New Mexico 88011
Dr. Glenn J Waldt
Neuromusculoskeletal Medicine (NMM)
2900 Hillrise Drive
Las Cruces
, New Mexico 88011
(877) 532-2113
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
Languages spoken
- English
Location
First Address
- Dr. Glenn J Waldt
- 1180 Commerce Drive #14222
- Las Cruces, NM
- Zip : 88011-8255
- Fax : (877) 532-2113
- Phone : (505) 695-1227
Second Address
- Dr. Glenn J Waldt
- 2900 Hillrise Drive
- Las Cruces, NM
- Zip : 88011
- Fax : (877) 532-2113
- Phone : (505) 695-1227
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | A045921 | NM |
National Provider Identifier
| NPI | 1437219698 |
|---|---|
| Provider Name | Dr. Glenn J Waldt |
| First Address | Las Cruces, NM 88011-8255 |
| Second Address | Las Cruces, NM 88011 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/12/2006 |
| Last Update Date | 17/09/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 27552381 | (05) | NM |
| U97494 | (02) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.