Gardner, Glenn C

Gardner, Glenn C is an individual health care provider with primary practice located at 7710 Mercy Road Suite 305, Omaha NE 68124. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Gardner, Glenn C can be contacted via phone (402) 393-1338.

Contact Information

Primary practice address
7710 Mercy Road Suite 305 Omaha NE 68124
Phone: (402) 393-1338
Fax: (402) 393-6924
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 21949 Nebraska

Profile Details

NPI number 1982653929
LBN Legal business name Gardner, Glenn C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Jun 11th, 2009 - about 15 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 1982653929 NPPES
Nebraska MEDICAID 91175912513

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