Glattfelt, Jerry Edward

Glattfelt, Jerry Edward is an individual health care provider with primary practice located at 100 Bodin Cir 60 Th Msgs/Sgcsa, Travis Afb CA 94535-1804. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Glattfelt, Jerry Edward can be contacted via phone (707) 423-5370.

Contact Information

Primary practice address
100 Bodin Cir 60 Th Msgs/Sgcsa Travis Afb CA 94535-1804
Phone: (707) 423-5370
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 041-232449 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209-003657 APN LICEN Illinois

Profile Details

NPI number 1073594461
LBN Legal business name Glattfelt, Jerry Edward
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2005
Last updated Sep 1st, 2010 - about 14 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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