Glen S O'Sullivan, MD
Glen S O'Sullivan, MD is an Orthopedic Surgery in Mount Shasta, California. Qualified in 1986, 40 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in California.
- Years since qualifying
- 40
- Licensed in
- CA
- In the registry since
- 2005
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
635 Lassen LnMount Shasta, CA 96067-9003
Phone: (866) 668-3597
Fax: (866) 301-6641
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence A44219 (CA) |
|---|
Record details
| NPI number | 1972504652 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | August 3, 2005 |
| Last updated in NPPES | November 23, 2010 |
| Mailing address | 635 Lassen Ln, Mount Shasta, CA 96067-9003 |
Medicare enrollment
| Medicare specialty | ORTHOPEDIC SURGERY |
|---|---|
| Medical school | OTHER |
| Graduated | 1986 (40 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 2 on file with Medicare |
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