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
Fax: (503) 371-4356
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245564491 NPPES
Oregon MEDICAID 500612024

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