Andrew, Joshua Glenn
Andrew, Joshua Glenn is an individual health care provider with primary practice located at 875 Oak St Se Suite 5020, Salem OR 97301-3975. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Andrew, Joshua Glenn can be contacted via phone (503) 371-4044.Contact Information
Primary practice address
875 Oak St Se Suite 5020
Salem OR 97301-3975
Phone: (503) 371-4044
Fax: (503) 371-4356
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA130000 | Oregon |
Profile Details
NPI number | 1245564491 |
---|---|
LBN Legal business name | Andrew, Joshua Glenn |
Credentials | PAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 21st, 2009 |
Last updated | Dec 21st, 2021 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1245564491 | NPPES |
Oregon | MEDICAID | 500612024 |
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