Abernathy, Mabra Glenn

Abernathy, Mabra Glenn is an individual health care provider with primary practice located at 920 E 2Nd Ave Ste 201 , Coralville IA 52241-2225. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Abernathy, Mabra Glenn can be contacted via phone (319) 384-7000.

Contact Information

Primary practice address
920 E 2Nd Ave Ste 201 Coralville IA 52241-2225
Fax: (319) 467-2814
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 37536 Iowa

Profile Details

NPI number 1316922545
LBN Legal business name Abernathy, Mabra Glenn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Apr 17th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316922545 NPPES
Iowa Other 1316922545 MEDICAID.... UIQC.... OCTC.....NL.....SEIC
Iowa Other 1184673972 MEDICAID.... UIQC.... OCTC.....NL.....SEIC
Iowa MEDICAID 1316922545 MEDICAID.... UIQC.... OCTC.....NL.....SEIC
Iowa MEDICAID 103989 MEDICAID.... UIQC.... OCTC.....NL.....SEIC

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