Gardner, Glenn Pierce

Gardner, Glenn Pierce is an individual health care provider with primary practice located at 1086 Franklin St Ste 3002, Johnstown PA 15905-4305. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Gardner, Glenn Pierce can be contacted via phone (814) 534-9194.

Contact Information

Primary practice address
1086 Franklin St Ste 3002 Johnstown PA 15905-4305
Phone: (814) 534-9194
Fax: (814) 534-5847
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 20050400008 Missouri
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD 60118824 Washington

Profile Details

NPI number 1932165321
LBN Legal business name Gardner, Glenn Pierce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Mar 9th, 2016 - about 8 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 1932165321 NPPES
Pennsylvania MEDICAID 001543260
Pennsylvania Other 259599
Pennsylvania Other 202277
Pennsylvania MEDICAID 206237307

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