Glen Whitehead, O.D

NPI 1669578456 · on the registry since 2006 · sole proprietor

Practice

Address: 2762 Herman Rd
Hamilton, OH 45013
Phone: (513) 892-5961
Fax: (513) 892-5962
Organisation at this address: Agape Ohio Llc
Agape Ohio Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 152W00000X
152W00000X
Also registered as: 152WC0802X
152WP0200X
152WS0006X
152WV0400X
Licence states on file: OH
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-03-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio