DR. MARY JANE GLASS (NPI# 1033274477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033274477 |
| Entity Type | Individual |
| Full Name | DR. MARY JANE GLASS |
| Credential | DC |
| Practice Address |
2489 Lake Tahoe Blvd Ste 8 South Lake Tahoe CA 96150-7713 |
| Mailing Address |
1401 Meadow Crest Dr South Lake Tahoe CA 96150-7461 |
| Practice Telephone | 5305442380 |
| Practice Fax Number | 5305442316 |
| Mailing Telephone | 5303181776 |
| Mailing Fax Number | 5305449452 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC27764 | CA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144459454 | Mary Louise Glass | Licensed Practical Nurse | 3327 Tugend Rd, Butler, OH 44822-9659 | 2009-07-08 |
| 1518921741 | Mary Glass | Internal Medicine | 1630 Lafayette Road, Suite 300, Crawfordsville, IN 47933 | 2006-04-14 |
| 1093348120 | Mary Glass | Behavioral Analyst | 606 E Baltimore Pike Fl 2, Media, PA 19063-1751 | 2020-02-18 |
| 1013265933 | Mary Elizabeth Glass | Psychologist | 6820 Porto Fino Circle, Suite 1, Ft Myers, FL 33912-7133 | 2012-08-27 |
| 1851602528 | Mary H Glass | Pharmacist | 1106 Culebra Rd, San Antonio, TX 78201-6005 | 2010-06-28 |
| Street Address |
2489 LAKE TAHOE BLVD STE 8 |
| City | SOUTH LAKE TAHOE |
| State | CA |
| Zip Code | 96150-7713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356527766 | Alexandre Kales Couture Herring | Massage Therapist | 2489 Lake Tahoe Blvd Ste 8, South Lake Tahoe, CA 96150-7713 | 2008-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750818969 | Terri Wong | Behavior Technician | 908 Alameda Ave, #b, South Lake Tahoe, CA 96150 | 2017-05-18 |
| 1154735157 | Catherine Anne Jones | Dental Hygienist | 1088 4th St # 6, South Lake Tahoe, CA 96150 | 2014-06-17 |
| 1245663194 | Sheila Marie Gwin | Behavioral Analyst | 2111south Ave, South Lake Tahoe, CA 96150 | 2013-08-14 |
| 1164785598 | Launa Jean Martin | Doula | 1399 Bozeman Dr, South Lake Tahoe, CA 96150 | 2012-06-20 |
| 1881957355 | Elizabeth Marilyn Mcnamara | Emergency Medicine | Barton Memorial Hospital, 2107 South Ave, South Lake Tahoe, CA 96150 | 2012-06-20 |
| 1295034627 | Dana Elizabeth Cox | Chiropractor | 3097 Harrison Ave., # 202, S. Lake Tahoe, CA 96150 | 2011-03-24 |
| 1639485162 | April Lyn Westfall | Dentist | 3358 Sandy Way, # B, S Lake Tahoe, CA 96150 | 2010-08-21 |
| 1700199270 | Rollie E Rohnow | Pharmacist | 1020 Al Tahoe Blvd, Rite Aid Pharmacy, South Lake Tahoe, CA 96150 | 2010-07-26 |
| 1699000455 | Ellen Newell Mccullough | Physical Therapist | 1900 High Meadow Trail, South Lake Tahoe, CA 96150 | 2009-10-13 |
| 1093941148 | Ashley Elizabeth Bedell | Counselor | 1137 Emerald Bay Rd., South Lake Tahoe, CA 96150 | 2009-06-03 |
| Find all providers in zip 96150 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991141 | Summit To Shore Chiropractic A Haworth Corporation | Chiropractor | 2877 Lake Tahoe Blvd Ste E, South Lake Tahoe, CA 96150-7807 | 2020-01-22 |
| 1669846374 | Darin Haworth | Chiropractor | 2877 Lake Tahoe Blvd #e, South Lake Tahoe, CA 96150-7807 | 2015-11-18 |
| 1962875096 | Summit To Shore Chiropractic | Chiropractor | 2877 Lake Tahoe Blvd Ste B, South Lake Tahoe, CA 96150-7807 | 2015-11-11 |
| 1033526207 | Joshua Welch | Chiropractor | 3637 Larch Ave Ste 1, Safe Haven Chiropractic, South Lake Tahoe, CA 96150-8478 | 2014-07-18 |
| 1922359520 | Erin-elizabeth Maccarry Davis | Chiropractor | 591 Tahoe Keys Blvd Ste D3, South Lake Tahoe, CA 96150-3359 | 2012-09-24 |
| 1801164280 | Kimberly Nicole Rumack Crowley | Chiropractor | 2877 Lake Tahoe Blvd., Suite B, South Lake Tahoe, CA 96151 | 2011-12-13 |
| 1316063118 | Jerry Lee Hoskin | Chiropractor | 3121 Harrison Ave, South Lake Tahoe, CA 96150-7925 | 2007-03-22 |
| 1174607915 | Anthony Lawrence Naccarato | Chiropractor | 3447 Lake Tahoe Blvd Ste 3, South Lake Tahoe, CA 96150-8911 | 2006-10-25 |
| 1689755233 | Dirk Starr Hamilton | Chiropractor | 3320 Sandy Way, Suite 1, South Lake Tahoe, CA 96150-8105 | 2006-10-18 |
| 1003831546 | Karen Marie Borges | Chiropractor | 2074 Lake Tahoe Blvd Ste 5, South Lake Tahoe, CA 96150-6408 | 2006-07-13 |
| Find all providers in SOUTH LAKE TAHOE | ||||
| City | SOUTH LAKE TAHOE |
| Zip Code | 96150 |
Please comment or provide details below to improve the information on DR. MARY JANE GLASS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.