Andersen, Glenna R

Andersen, Glenna R is an individual health care provider with primary practice located at 8501 Arlington Blvd Ste 300, Fairfax VA 22031-4617. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Andersen, Glenna R can be contacted via phone (703) 560-1612.

Contact Information

Primary practice address
8501 Arlington Blvd Ste 300 Fairfax VA 22031-4617
Phone: (703) 560-1612
Fax: (703) 573-0217
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 0101038435 Virginia

Profile Details

NPI number 1447241989
LBN Legal business name Andersen, Glenna R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Nov 27th, 2023 - about last year

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 1447241989 NPPES
Other 540894297 PHCS
Other 0919870001 PHCS
Other 240947 PHCS
Other 468150 PHCS
Other 502418 PHCS
MEDICAID 6254110 PHCS
Other 0700360 PHCS
Other 34300003 PHCS
Other 440156 PHCS
Other 540894297 PHCS
Other 4204387 PHCS
Other 240947 PHCS
Other 540894297 PHCS
Other 0101038435 PHCS
Other 49D0861486 PHCS

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