Forney, Glen A

Forney, Glen A is an individual health care provider with primary practice located at 2 W 42Nd St Suite 3100, Scottsbluff NE 69361-0615. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Forney, Glen A can be contacted via phone (308) 632-2872.

Contact Information

Primary practice address
2 W 42Nd St Suite 3100 Scottsbluff NE 69361-0615
Phone: (308) 632-2872
Fax: (308) 632-4191
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 13070 Nebraska

Profile Details

NPI number 1528052016
LBN Legal business name Forney, Glen A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Aug 19th, 2008 - about 17 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 1528052016 NPPES
Nebraska MEDICAID 47070174412

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